# EXPRESS DME & SUPPLY, INC

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

## Provider details

- **NPI number:** 1396829354
- **Authorized official:** OMAR LEDEZMA (PRESIDENT)
- **Authorized official phone:** (956) 781-4004

## Contact information

- **Practice address:** 802 E EXPRESSWAY 83, STE D, PHARR, TX 78577-6524
- **Practice address phone:** (956) 781-4004
- **Practice address fax:** (956) 781-4304
- **Mailing address:** 802 E EXPRESSWAY 83, STE D, PHARR, TX 78577-6524
- **Mailing address phone:** (956) 781-4004
- **Mailing address fax:** (956) 781-4304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0087790 | TX | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 01/30/2012