# O2 DME DURABLE EQUIPMENT & SUPPLY LLC

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

## Provider details

- **NPI number:** 1669794467
- **Authorized official:** MARIVEL PEREZ (OFFICE MANAGER)
- **Authorized official phone:** (956) 263-1630

## Contact information

- **Practice address:** 103 KAIN ST UNIT 1, RIO GRANDE CITY, TX 78582-6667
- **Practice address phone:** (956) 263-1630
- **Practice address fax:** (956) 263-1602
- **Mailing address:** 103 S KAIN ST UNIT 1, RIO GRANDE CITY, TX 78582-4221
- **Mailing address phone:** (956) 263-1630
- **Mailing address fax:** (956) 263-1602

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2010
- **Last updated:** 01/12/2012