Organization
ELEAZAR LOPEZ
Active
Other names
Western Alliance Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELEAZAR LOPEZ (OWNER)
(956) 488-9616
Entity
Organization
Contact information
Practice address
1205 W MAIN ST STE 3, RIO GRANDE CITY, TX 78582-4017
(956) 488-9616
(956) 488-0572
Mailing address
1205 W MAIN ST STE 3, RIO GRANDE CITY, TX 78582-4017
(956) 488-9616
(956) 488-0572
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0086743
TX
Other
Enumeration date
04/17/2008
Last updated
06/20/2008
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