Organization
MCMJ, INC
Active
Other names
Reliable Medical Equipment & Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD BUSTOS (OWNER)
(956) 466-9402
Entity
Organization
Contact information
Practice address
34 TANDY RD, BROWNSVILLE, TX 78520-9423
(956) 350-2828
(956) 350-2829
Mailing address
34 TANDY RD, BROWNSVILLE, TX 78520-9423
(956) 350-2828
(956) 350-2829
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000011
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176568704
—
TX
Enumeration date
11/08/2006
Last updated
06/10/2009
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