Organization Name: | PROFESSIONAL MEDICAL SUPPLIES,DME, LLC |
NPI Number: | 1316078199 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA L OLIVAREZ (ADMINISTRATOR) |
Mailing Address: | 119 W Commercial Ave La Feria |
State: | TX US |
Postal Code: | 785595108 |
Phone Number: | 9562770275 |
Fax Number: | 9562770269 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 06/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | 0079427 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |