Organization
ILLUSION MEDICAL EQUIPMENT II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE C. MITCHELL II (OWNER)
(956) 447-0225
Entity
Organization
Contact information
Practice address
1509 W BUSINESS 83 STE B, WESLACO, TX 78596-5796
(956) 447-0224
(956) 447-0226
Mailing address
1509 W BUSINESS 83 STE B, WESLACO, TX 78596-5796
(956) 447-0224
(956) 447-0226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212537901
—
TX
05
—
212537902
—
TX
Enumeration date
07/13/2009
Last updated
05/31/2011
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