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Organization
VIDA MEDICAL SUPPLIES LLC
Active
Organization
VIDA MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN D GARCIA (OWNER / PRESIDENT)
(956) 488-0108
Entity
Organization
Contact information
Practice address
1002 N AVASOLO ST, RIO GRANDE CITY, TX 78582-2811
(956) 488-0108
(956) 488-0525
Mailing address
1002 N AVASOLO ST, RIO GRANDE CITY, TX 78582-2811
(956) 488-0108
(956) 488-0525
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Enumeration date
05/27/2006
Last updated
03/08/2017
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