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Organization
BORDER LINE D.M.E.
Active
Organization
BORDER LINE D.M.E.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRAIS LONGORIA (OWNER)
(956) 458-1895
Entity
Organization
Contact information
Practice address
2800 W. EXPRESSWAY 83, SULLIVAN, TX 78595
(956) 400-8843
Mailing address
2608 E 29TH ST, MISSION, TX 78574-2077
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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