Organization
JAIME ORTIZ
Active
Other names
MIRACLE MEDICAL EQUIPMENT & SUPPLIES OF SOUTH TEXAS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE LEE LOZANO (GENERAL MANAGER)
(956) 969-9596
Entity
Organization
Contact information
Practice address
502 E EXPRESSWAY 83 STE 16, WESLACO, TX 78596-4538
(956) 969-9596
Mailing address
502 E EXPRESSWAY 83 STE 16, WESLACO, TX 78596-4538
(956) 969-9596
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0077132
TX
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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