# ADVANCED ELITE DME

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

## Provider details

- **NPI number:** 1114399144
- **Authorized official:** DR. ROBERTO DIAZ (OWNER)
- **Authorized official phone:** (361) 701-0871

## Contact information

- **Practice address:** 1165 E MAIN ST STE D, ALICE, TX 78332-5046
- **Practice address phone:** (361) 453-4555
- **Mailing address:** PO BOX 390, ALICE, TX 78333-0390
- **Mailing address phone:** (361) 701-0871

## Taxonomy

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

## Other

- **Enumeration date:** 10/29/2015
- **Last updated:** 01/26/2017