# GE WIESE DBA

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

## Provider details

- **NPI number:** 1619919065
- **Authorized official:** KENNETH EDWARD WIESE (GENERAL MANAGER)
- **Authorized official phone:** (830) 768-1818

## Contact information

- **Practice address:** 714 N BEDELL AVE, DEL RIO, TX 78840-4111
- **Practice address phone:** (830) 768-1818
- **Practice address fax:** (830) 778-8618
- **Mailing address:** 714 N BEDELL AVE, DEL RIO, TX 78840-4111
- **Mailing address phone:** (830) 768-1818
- **Mailing address fax:** (830) 778-8618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 09/11/2025