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Organization
LIBERTY DME, LLC
Active
Organization
LIBERTY DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER TREVINO RRT (OWNER/ADMINISTRATOR)
(956) 783-4804
Entity
Organization
Contact information
Practice address
1708 MOZELLE ST, PHARR, TX 78577-7450
(956) 783-4804
(956) 783-4805
Mailing address
1708 MOZELLE ST, PHARR, TX 78577-7450
(956) 783-4804
(956) 783-4805
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
06/17/2009
Last updated
01/21/2022
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