# HACIENDA MEDICAL EQUIPMENT AND SUPPLIES

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

## Provider details

- **NPI number:** 1639395023
- **Authorized official:** MR. VINCENTE ALBERTO GUTIERREZ (PARTNER)
- **Authorized official phone:** (956) 687-2223

## Contact information

- **Practice address:** 5520 N. MCCOLL RD, STE 'I', MCALLEN, TX 78504-2242
- **Practice address phone:** (956) 687-2223
- **Practice address fax:** (956) 687-2230
- **Mailing address:** 5500 N. MCCOLL RD., BLDG D PMB\#109, MCALLEN, TX 78504-2242
- **Mailing address phone:** (956) 687-2223
- **Mailing address fax:** (956) 687-2230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0094109 | TX | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 06/03/2011