# MSTAT DME LLC

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

## Provider details

- **NPI number:** 1780884502
- **Authorized official:** JULIO CESAR MENDOZA (PRESIDENT)
- **Authorized official phone:** (956) 546-7888

## Contact information

- **Practice address:** 2900 CENTRAL BLVD, STE B, BROWNSVILLE, TX 78520-8983
- **Practice address phone:** (956) 546-7888
- **Practice address fax:** (956) 546-7833
- **Mailing address:** 5265 RIDGELINE DR, BROWNSVILLE, TX 78526-3888
- **Mailing address phone:** (956) 546-7888
- **Mailing address fax:** (956) 546-7833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0097136 | TX | Yes |
| 332BC3200X | Customized Equipment (DME) | 0097136 | TX | — |
| 332BN1400X | Nursing Facility Supplies (DME) | 0097136 | TX | — |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 07/19/2007