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Organization
PL MEDICAL SUPPLY, INC
Active
Organization
PL MEDICAL SUPPLY, INC
Active
Other names
PRODUCTIVE LIFE MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOEMI VILLARREAL (VP)
(956) 580-7577
Entity
Organization
Contact information
Practice address
2034 E GRIFFIN PARKWAY, MISSION, TX 78572-3223
(956) 580-7577
(956) 580-9073
Mailing address
2034 E GRIFFIN PARKWAY, MISSION, TX 78572-3223
(956) 580-7577
(956) 580-9073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0056670
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0056670
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0056670
TX
Other
Enumeration date
09/13/2006
Last updated
01/04/2022
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