# PREMIER MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225083298
- **Authorized official:** MR. OMAR RODRIGUEZ (OWNER/PARTNER)
- **Authorized official phone:** (361) 592-9200

## Contact information

- **Practice address:** 203 E KING AVE, KINGSVILLE, TX 78363-5575
- **Practice address phone:** (361) 592-9200
- **Practice address fax:** (361) 592-9292
- **Mailing address:** 203 E KING AVE, KINGSVILLE, TX 78363-5575
- **Mailing address phone:** (361) 592-9200
- **Mailing address fax:** (361) 592-9292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 10/23/2014