# UPPER VALLEY DME

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

## Provider details

- **NPI number:** 1548361686
- **Authorized official:** RAMON DE LA GARZA (MANAGER)
- **Authorized official phone:** (956) 487-1201

## Contact information

- **Practice address:** 756 N FM 2360, RIO GRANDE CITY, TX 78582-9726
- **Practice address phone:** (956) 487-1201
- **Practice address fax:** (956) 487-1428
- **Mailing address:** 756 N FM 2360, RIO GRANDE CITY, TX 78582-9726
- **Mailing address phone:** (956) 487-1201
- **Mailing address fax:** (956) 487-1428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0091422 | TX | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 06/11/2008