# SER PRIMERO MEDICAL SUPPLIES

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

## Provider details

- **NPI number:** 1619290269
- **Authorized official:** SAMUEL DE LEON JR. (OWNER)
- **Authorized official phone:** (586) 943-8630

## Contact information

- **Practice address:** 25658 N FM 506, LA FERIA, TX 78559-4260
- **Practice address phone:** (586) 943-8630
- **Mailing address:** 25658 N FM 506, LA FERIA, TX 78559-4260
- **Mailing address phone:** (586) 943-8630

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2010
- **Last updated:** 03/10/2010