# PL MEDICAL SUPPLY, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRODUCTIVE LIFE MEDICAL SUPPLY INC.
- **Other names:** PRODUCTIVE LIFE MEDICAL SUPPLY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205082658
- **Legal business name:** PRODUCTIVE LIFE MEDICAL SUPPLY INC.
- **Authorized official:** MRS. NOEMI VILLARREAL (VP)
- **Authorized official phone:** (956) 580-7577

## Contact information

- **Practice address:** 8899 ALAMEDA AVE STE 117, EL PASO, TX 79907-6288
- **Practice address phone:** (915) 858-8552
- **Practice address fax:** (915) 858-3664
- **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 |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 08/15/2008
- **Last updated:** 01/04/2022