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Organization
PRIMEPATH MEDICAL SUPPLIES LLC
Active
Organization
PRIMEPATH MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA MONTELONGO-VARGAS (CONSULTANT)
(682) 320-3219
Entity
Organization
Contact information
Practice address
10014 INWOOD SHADOWS ST, HOUSTON, TX 77088-2223
(732) 915-7284
Mailing address
10014 INWOOD SHADOWS ST, HOUSTON, TX 77088-2223
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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