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Organization
SELINA R PENA
Active
Organization
SELINA R PENA
Active
Other names
GONZALEZ MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
SELINA RENEE PENA (OWNER)
(956) 631-7761
Entity
Organization
Contact information
Practice address
4219 W EXPRESSWAY 83, STE D, MISSION, TX 78572-8996
(956) 631-7761
(956) 631-7961
Mailing address
4219 W EXPRESSWAY 83, STE D, MISSION, TX 78572-8996
(956) 631-7761
(956) 631-7961
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0093296
TX
Other
Enumeration date
02/22/2007
Last updated
11/19/2008
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