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Organization

LAMBORGHINI TECHNOLOGIES

Active
Parent organization
LAMBORGHINI TECHNOLOGIES
Other names
MEMORIAL VILLAGE MEDICAL SUPPLY
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAMBORGHINI TECHNOLOGIES
Authorized official
MR. ALPHONSE MUTSINDASHYAKA ENGINEER (CEO/PRESIDENT)
(713) 996-9300
Entity
Organization

Contact information

Practice address
2870 GESSNER RD. SUITE A3, HOUSTON, TX 77080
(713) 996-9300
(713) 996-9300
Mailing address
2870 GESSNER RD. SUITE A3, HOUSTON, TX 77080
(713) 996-9300
(713) 996-9300

Taxonomy

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

Other

Enumeration date
03/26/2008
Last updated
03/26/2008
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