# DME MEDICAL SUPPLY DEPOT, LLC

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

## Provider details

- **NPI number:** 1023274958
- **Authorized official:** MR. EVERARDO VILLARREAL PTA (OWNER)
- **Authorized official phone:** (956) 720-4120

## Contact information

- **Practice address:** 13600 E HIGHWAY 107, SUITE 5, EDINBURG, TX 78542-1644
- **Practice address phone:** (956) 720-4120
- **Practice address fax:** (956) 720-4042
- **Mailing address:** 13600 E HIGHWAY 107, SUITE 5, EDINBURG, TX 78542-1644
- **Mailing address phone:** (956) 720-4120
- **Mailing address fax:** (956) 720-4042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0105698 | TX | Yes |

## Other

- **Enumeration date:** 07/30/2008
- **Last updated:** 07/28/2009