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Organization
VALLEY OSTOMY SUPPLY, INC
Active
Organization
VALLEY OSTOMY SUPPLY, INC
Active
Other names
Lifetime Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR ONTIVEROS (PRESIDENT)
(956) 972-0244
Entity
Organization
Contact information
Practice address
1138 E EXPRESSWAY 83, SUITE A, PHARR, TX 78577-6518
(956) 283-1253
(956) 781-4973
Mailing address
1138 E EXPRESSWAY 83, SUITE A, PHARR, TX 78577-6518
(956) 283-1253
(956) 781-4973
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0080136
TX
Other
Enumeration date
01/11/2007
Last updated
02/25/2013
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