Organization
PL MEDICAL SUPPLY, INC.
Active
Other names
Productive Life Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOEMI VILLARREAL (VICE-PRESIDENT)
(915) 858-8552
Entity
Organization
Contact information
Practice address
2034 E GRIFFIN PKWY, MISSION, TX 78572-3223
(956) 580-7577
(956) 580-9073
Mailing address
2034 E GRIFFIN PKWY, MISSION, TX 78572-3223
(956) 580-7577
(956) 580-9073
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0100872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147473601
—
TX
Enumeration date
11/26/2007
Last updated
10/02/2008
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