# MOBILE PICC LINES INC

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

## Provider details

- **NPI number:** 1356665863
- **Authorized official:** RALPH NIETO R.T. (PRESIDENT)
- **Authorized official phone:** (956) 425-7422

## Contact information

- **Practice address:** 17745 W EXPRESSWAY 83, HARLINGEN, TX 78552-3536
- **Practice address phone:** (956) 440-9728
- **Practice address fax:** (956) 440-8882
- **Mailing address:** PO BOX 532757, HARLINGEN, TX 78553-2844
- **Mailing address phone:** (956) 425-7422
- **Mailing address fax:** (956) 440-8882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2010
- **Last updated:** 09/16/2010