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Organization
PL MEDICAL SUPPLY, INC
Active
Organization
PL MEDICAL SUPPLY, INC
Active
Parent organization
PRODUCTIVE LIFE MEDICAL SUPPLY INC.
Other names
PRODUCTIVE LIFE MEDICAL SUPPLY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRODUCTIVE LIFE MEDICAL SUPPLY INC.
Authorized official
MRS. NOEMI VILLARREAL (VP)
(956) 580-7577
Entity
Organization
Contact information
Practice address
8899 ALAMEDA AVE STE 117, EL PASO, TX 79907-6288
(915) 858-8552
(915) 858-3664
Mailing address
2034 E GRIFFIN PKWY, MISSION, TX 78572-3223
(956) 580-7577
(956) 580-9073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
08/15/2008
Last updated
01/04/2022
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