# MEDIKU FASTU LP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013074046
- **Authorized official:** MR. ERIC LUEBANOS (PARTNER)
- **Authorized official phone:** (956) 688-6334

## Contact information

- **Practice address:** 3241 N 38TH ST, MCALLEN, TX 78501-3301
- **Practice address phone:** (956) 688-6334
- **Mailing address:** PO BOX 6364, MCALLEN, TX 78502-6364
- **Mailing address phone:** (956) 688-6334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/22/2020