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Organization
FERNANDO X CORPUS & MINERVA F. GUTIERREZ
Active
Organization
FERNANDO X CORPUS & MINERVA F. GUTIERREZ
Active
Other names
Amistad DME LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MINERVA FLORES GUTIERREZ (PARTNER)
(956) 781-5880
Entity
Organization
Contact information
Practice address
216 E EXPRESSWAY 83 STE Q, PHARR, TX 78577-6505
(956) 781-5880
(956) 781-4185
Mailing address
216 E EXPRESSWAY 83 STE Q, PHARR, TX 78577-6505
(956) 781-5880
(956) 781-4185
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0101256
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0101256
TX
Other
Enumeration date
12/04/2007
Last updated
05/02/2011
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