# BORDER LINE D.M.E.

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

## Provider details

- **NPI number:** 1902083918
- **Authorized official:** IRAIS LONGORIA (OWNER)
- **Authorized official phone:** (956) 458-1895

## Contact information

- **Practice address:** 2800 W. EXPRESSWAY 83, SULLIVAN, TX 78595
- **Practice address phone:** (956) 400-8843
- **Mailing address:** 2608 E 29TH ST, MISSION, TX 78574-2077

## Taxonomy

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

## Other

- **Enumeration date:** 01/22/2008
- **Last updated:** 01/22/2008