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Organization
VIVA MEDICAL SUPPLY LLC
Active
Organization
VIVA MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFREM COLMENERO (PRESIDENT)
(972) 861-1000
Entity
Organization
Contact information
Practice address
8150 N CENTRAL EXPY, 780, DALLAS, TX 75206-1815
(972) 861-1000
Mailing address
8150 N CENTRAL EXPY, 780, DALLAS, TX 75206-1815
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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