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Organization
PREMIER MEDICAL SUPPLY
Active
Organization
PREMIER MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR RODRIGUEZ (OWNER/PARTNER)
(361) 592-9200
Entity
Organization
Contact information
Practice address
203 E KING AVE, KINGSVILLE, TX 78363-5575
(361) 592-9200
(361) 592-9292
Mailing address
203 E KING AVE, KINGSVILLE, TX 78363-5575
(361) 592-9200
(361) 592-9292
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
05/24/2006
Last updated
10/23/2014
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