# BLUEBONNET DURABLE MEDICAL EQUIPMENT & SUPPLIES LLC

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

## Provider details

- **NPI number:** 1154374528
- **Authorized official:** MR. DESI MICHAEL RAMOS (OWNER)
- **Authorized official phone:** (956) 849-1044

## Contact information

- **Practice address:** 507 N GRANT ST STE 1, ROMA, TX 78584-5302
- **Practice address phone:** (956) 849-1044
- **Practice address fax:** (956) 849-7455
- **Mailing address:** 507 N GRANT ST STE 1, ROMA, TX 78584-5302
- **Mailing address phone:** (956) 849-1044
- **Mailing address fax:** (956) 849-7455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0012948 | TX | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 0070690 | TX | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0070690 | TX | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 06/27/2023