| Organization Name: | DEL RIO HOME OXYGEN LLC |
| NPI Number: | 1174505440 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH EDWARD WIESE (GENERAL MANAGER) |
| Mailing Address: | 1308 N Bedell Ave Del Rio |
| State: | TX US |
| Postal Code: | 788407818 |
| Phone Number: | 8307681818 |
| Fax Number: | 8307788618 |
| NPI Enumeration Date: | 11/14/2005 |
| NPI Last Update Date: | 08/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 0082294 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |