# ROLAND GUERRA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prime Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942449434
- **Authorized official:** MR. ROLAND GUERRA (OWNER/OPERATOR)
- **Authorized official phone:** (956) 607-3474

## Contact information

- **Practice address:** 924 W NOLANA LOOP, C, PHARR, TX 78577-7931
- **Practice address phone:** (956) 782-5555
- **Mailing address:** 924 W NOLANA LOOP, C, PHARR, TX 78577-7931
- **Mailing address phone:** (956) 782-5555

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2009
- **Last updated:** 01/28/2011