# NUESTRAS RAICES HUMILDES D.M.E. LLC

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

## Provider details

- **NPI number:** 1386887370
- **Authorized official:** MR. JOE F. ZAMORA (MANAGER)
- **Authorized official phone:** (956) 383-1363

## Contact information

- **Practice address:** 116 S 12TH AVE, STE. K, EDINBURG, TX 78539-4502
- **Practice address phone:** (956) 383-1363
- **Practice address fax:** (956) 383-1363
- **Mailing address:** 116 S 12TH AVE, STE. K, EDINBURG, TX 78539-4502
- **Mailing address phone:** (956) 383-1363
- **Mailing address fax:** (956) 383-1363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 32039110153 | TX | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 04/07/2009