# PROFESSIONAL MEDICAL SUPPLIES,DME, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1316078199
- **Authorized official:** MRS. SANDRA L OLIVAREZ PART OWNER (ADMINISTRATOR)
- **Authorized official phone:** (956) 277-0275

## Contact information

- **Practice address:** 119 W COMMERCIAL AVE, LA FERIA, TX 78559-5108
- **Practice address phone:** (956) 277-0275
- **Practice address fax:** (956) 277-0269
- **Mailing address:** 119 W COMMERCIAL AVE, LA FERIA, TX 78559-5108
- **Mailing address phone:** (956) 277-0275
- **Mailing address fax:** (956) 277-0269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0079427 | TX | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 0079427 | TX | — |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 06/22/2015