# NEW MOON EXPRESS SERVICE CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEW MOON EXPRESS SERVICE CORP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982936456
- **Authorized official:** MRS. ANA GLORIA BERRA (PRESIDENT)
- **Authorized official phone:** (956) 331-0151

## Contact information

- **Practice address:** 1313 W POLK AVE STE 19, PHARR, TX 78577-2141
- **Practice address phone:** (956) 781-4600
- **Practice address fax:** (956) 781-4678
- **Mailing address:** 1313 W POLK AVE STE 19, PHARR, TX 78577-2141
- **Mailing address phone:** (956) 781-4600
- **Mailing address fax:** (956) 781-4678

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2010
- **Last updated:** 03/21/2011