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Organization
EL PANCIERA INC
Active
Organization
EL PANCIERA INC
Active
Other names
Boca Chica Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMIL LEE PANCIERA RRT (PRESIDENT)
(956) 542-4375
Entity
Organization
Contact information
Practice address
17 BOCA CHICA BLVD, SUITE A, BROWNSVILLE, TX 78520-7813
(956) 542-4375
(956) 542-4056
Mailing address
17 BOCA CHICA BLVD, SUITE A, BROWNSVILLE, TX 78520-7813
(956) 542-4375
(956) 542-4056
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0065168
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0065168
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
56083
TX
Other
Enumeration date
12/08/2005
Last updated
04/25/2012
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