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Organization

MARIA M. SAMUDIA

Active
Other names
PRIMELINE DME
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA M SAMUDIA (OWNER)
(956) 687-9559
Entity
Organization

Contact information

Practice address
1610 E GRIFFIN PKWY, MISSION, TX 78572-3180
(956) 424-3232
(956) 581-0635
Mailing address
1610 E GRIFFIN PKWY, MISSION, TX 78572-3180
(956) 424-3232
(956) 581-0635

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0087745
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185897901
TX
05
185897902
TX
Enumeration date
03/09/2006
Last updated
07/31/2009
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