# LA HOMA MEDICAL EQUIPMENT & SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LA HOMA MEDICAL EQUIPMENT & SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528241312
- **Authorized official:** MISS BERTHA ALICIA MORENO (OWNER)
- **Authorized official phone:** (956) 424-0177

## Contact information

- **Practice address:** 810 E VETERANS BLVD, SUITE K, MISSION, TX 78572-5018
- **Practice address phone:** (956) 424-0177
- **Practice address fax:** (956) 424-1904
- **Mailing address:** 810 E VETERANS BLVD, SUITE K, MISSION, TX 78572-5018
- **Mailing address phone:** (956) 424-0177
- **Mailing address fax:** (956) 424-1904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0099179 | TX | Yes |

## Other

- **Enumeration date:** 12/14/2007
- **Last updated:** 06/28/2011