Organization
DME MART, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMIRO A REYES (OWNER)
(956) 969-3780
Entity
Organization
Contact information
Practice address
512 S WESTGATE DR, STE. C, WESLACO, TX 78596-5734
(956) 969-3780
(956) 969-3782
Mailing address
512 S WESTGATE DR, STE. C, WESLACO, TX 78596-5734
(956) 969-3780
(956) 969-3782
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168024101
—
TX
05
—
168024102
—
TX
Enumeration date
12/29/2006
Last updated
04/07/2011
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