# PRIMARY HEALTH SOURCE INC.

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

## Provider details

- **NPI number:** 1316996143
- **Authorized official:** MR. JOEL HERNANDEZ JR. (PRESIDENT)
- **Authorized official phone:** (956) 753-0438

## Contact information

- **Practice address:** 1517 LINCOLN ST, LAREDO, TX 78040-5712
- **Practice address phone:** (956) 753-0438
- **Practice address fax:** (956) 712-9146
- **Mailing address:** 1517 LINCOLN ST, LAREDO, TX 78040-5712
- **Mailing address phone:** (956) 753-0438
- **Mailing address fax:** (956) 712-9146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0080659 | TX | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 03/12/2010