Organization
DME MEDICAL SUPPLY DEPOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVERARDO VILLARREAL PTA (OWNER)
(956) 720-4120
Entity
Organization
Contact information
Practice address
13600 E HIGHWAY 107, SUITE 5, EDINBURG, TX 78542-1644
(956) 720-4120
(956) 720-4042
Mailing address
13600 E HIGHWAY 107, SUITE 5, EDINBURG, TX 78542-1644
(956) 720-4120
(956) 720-4042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0105698
TX
Other
Enumeration date
07/30/2008
Last updated
07/28/2009
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