# INOVA CUSTOM HOMES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** inova dme
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558678797
- **Authorized official:** RAQUEL KANGUR (OWNER)
- **Authorized official phone:** (915) 630-5799

## Contact information

- **Practice address:** 12420 SOMBRA FUERTE DR, EL PASO, TX 79938-4487
- **Practice address phone:** (915) 630-5799
- **Mailing address:** 12420 SOMBRA FUERTE DR, EL PASO, TX 79938-4487
- **Mailing address phone:** (915) 630-5799

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2010
- **Last updated:** 09/09/2010