# EL PANCIERA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boca Chica Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326023763
- **Authorized official:** MR. EMIL LEE PANCIERA RRT (PRESIDENT)
- **Authorized official phone:** (956) 542-4375

## Contact information

- **Practice address:** 17 BOCA CHICA BLVD, SUITE A, BROWNSVILLE, TX 78520-7813
- **Practice address phone:** (956) 542-4375
- **Practice address fax:** (956) 542-4056
- **Mailing address:** 17 BOCA CHICA BLVD, SUITE A, BROWNSVILLE, TX 78520-7813
- **Mailing address phone:** (956) 542-4375
- **Mailing address fax:** (956) 542-4056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0065168 | TX | Yes |
| 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