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Organization
JUAN J. FLORES
Active
Organization
JUAN J. FLORES
Active
Other names
LA HOMA MEDICAL EQUIPMENT SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN JAVIER FLORES (OWNER)
(956) 584-2800
Entity
Organization
Contact information
Practice address
1222 N DUNLAP AVE, MISSION, TX 78572-3932
(956) 584-2800
(956) 584-3275
Mailing address
2511 E 28TH ST, MISSION, TX 78574-1979
(956) 584-2800
(956) 584-3275
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
09/21/2006
Last updated
05/07/2009
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