Organization
MORIAH MEDICAL SUPPLIES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS IRMA CANTU (OWNER)
(956) 266-5456
Entity
Organization
Contact information
Practice address
2401 VILLAGE DR STE C, BROWNSVILLE, TX 78521-1410
(956) 831-0158
(956) 982-3990
Mailing address
4869 ELOY ST, BROWNSVILLE, TX 78521-5425
(956) 831-0158
(956) 831-0168
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
04/14/2009
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