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Organization
PD SUPPLIERS OF TEXAS
Active
Organization
PD SUPPLIERS OF TEXAS
Active
Other names
PD Suppliers of West Texas
Organization subpart
No
Provider details
NPI number
Authorized official
NORA HERNANDEZ (BILLING SUPERVISOR)
(325) 653-6773
Entity
Organization
Contact information
Practice address
136 E CONCHO AVE, SAN ANGELO, TX 76903-5947
(325) 653-6773
Mailing address
PO BOX 5780, SAN ANGELO, TX 76902-5780
(325) 653-6773
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
TX
Other
Enumeration date
03/28/2006
Last updated
02/17/2014
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