Organization
PD SUPPLIERS OF TEXAS
Active
Other names
PD Suppliers of West Texas
Organization subpart
No
Provider details
NPI number
Authorized official
NORA HERNANDEZ (BILLING SUPERVISOR)
(325) 653-6773
Entity
Organization
Contact information
Practice address
136 E CONCHO AVE, SAN ANGELO, TX 76903-5947
(325) 653-6773
Mailing address
PO BOX 5780, SAN ANGELO, TX 76902-5780
(325) 653-6773
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
TX
Other
Enumeration date
03/28/2006
Last updated
02/17/2014
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