Organization
ALAMO FIESTA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETA QUIRINO (OWNER)
(956) 702-2167
Entity
Organization
Contact information
Practice address
1040 WEST ELLIS, ALAMO, TX 78516-2593
(956) 702-1848
(956) 702-1852
Mailing address
BOX 3716, ALAMO, TX 78516
(956) 702-1848
(956) 702-1852
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0076352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172063301
—
TX
05
—
172063302
—
TX
Enumeration date
02/07/2007
Last updated
06/27/2011
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