Organization
MEDIKU FASTU LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC LUEBANOS (PARTNER)
(956) 688-6334
Entity
Organization
Contact information
Practice address
3241 N 38TH ST, MCALLEN, TX 78501-3301
(956) 688-6334
Mailing address
PO BOX 6364, MCALLEN, TX 78502-6364
(956) 688-6334
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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