# PROFESSIONAL MEDICAL SUPPLIES

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

## Provider details

- **NPI number:** 1336360080
- **Authorized official:** GLORIA DELAGARZA (OFFICE MANAGER)
- **Authorized official phone:** (956) 565-6262

## Contact information

- **Practice address:** 4106 N 22ND ST, STE3, MCALLEN, TX 78504-4147
- **Practice address phone:** (956) 565-6262
- **Practice address fax:** (956) 565-6265
- **Mailing address:** 4106 N 22ND ST, STE3, MCALLEN, TX 78504-4147
- **Mailing address phone:** (956) 565-6262
- **Mailing address fax:** (956) 565-6265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 32016424254 | TX | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020