Organization
BLUEBONNET DURABLE MEDICAL EQUIPMENT & SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DESI MICHAEL RAMOS (OWNER)
(956) 849-1044
Entity
Organization
Contact information
Practice address
507 N GRANT ST STE 1, ROMA, TX 78584-5302
(956) 849-1044
(956) 849-7455
Mailing address
507 N GRANT ST STE 1, ROMA, TX 78584-5302
(956) 849-1044
(956) 849-7455
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0012948
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0070690
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0070690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162723403
—
TX
Enumeration date
05/18/2006
Last updated
06/27/2023
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