Organization
ADVANCED ELITE DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO DIAZ (OWNER)
(361) 701-0871
Entity
Organization
Contact information
Practice address
1165 E MAIN ST STE D, ALICE, TX 78332-5046
(361) 453-4555
Mailing address
PO BOX 390, ALICE, TX 78333-0390
(361) 701-0871
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
01/26/2017
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