Organization
HOMECARE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD A. BENAVIDEZ (OWNER)
(361) 664-0991
Entity
Organization
Contact information
Practice address
717 FLOURNOY RD, ALICE, TX 78332-4003
(361) 664-0991
(361) 664-4999
Mailing address
717 FLOURNOY RD, ALICE, TX 78332-4003
(361) 664-0991
(361) 664-4999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
TX0011732
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
0034193
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010131301
—
TX
05
—
011583401
—
TX
Enumeration date
08/28/2006
Last updated
09/19/2022
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