| Organization Name: | SMILE MEDICAL EQUIPMENT & SUPPLIES |
| NPI Number: | 1508802448 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OVANDO ANDRES BARRERA (CO OWNER) |
| Mailing Address: | 5088b W Highway 83 Roma |
| State: | TX US |
| Postal Code: | 785846602 |
| Phone Number: | 9568499049 |
| Fax Number: | 9568499049 |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 0089440 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |