# PL MEDICAL SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Productive Life Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134300692
- **Authorized official:** MRS. NOEMI VILLARREAL (VICE-PRESIDENT)
- **Authorized official phone:** (915) 858-8552

## Contact information

- **Practice address:** 2034 E GRIFFIN PKWY, MISSION, TX 78572-3223
- **Practice address phone:** (956) 580-7577
- **Practice address fax:** (956) 580-9073
- **Mailing address:** 2034 E GRIFFIN PKWY, MISSION, TX 78572-3223
- **Mailing address phone:** (956) 580-7577
- **Mailing address fax:** (956) 580-9073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0100872 | TX | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 10/02/2008