# HACIENDA DME LLC

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

## Provider details

- **NPI number:** 1093744161
- **Authorized official:** GREGORIO GARZA GARCIA (PRESIDENT)
- **Authorized official phone:** (956) 688-8212

## Contact information

- **Practice address:** 2408 BUDDY OWENS AVE, MCALLEN, TX 78504-5463
- **Practice address phone:** (956) 688-8212
- **Practice address fax:** (956) 467-5589
- **Mailing address:** 2408 BUDDY OWENS AVE, MCALLEN, TX 78504-5463
- **Mailing address phone:** (956) 688-8212
- **Mailing address fax:** (956) 467-5589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0083512 | TX | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 0083512 | TX | — |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 03/02/2011