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Organization

PREMIER MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OMAR RODRIGUEZ (OWNER/PARTNER)
(361) 592-9200
Entity
Organization

Contact information

Practice address
203 E KING AVE, KINGSVILLE, TX 78363-5575
(361) 592-9200
(361) 592-9292
Mailing address
203 E KING AVE, KINGSVILLE, TX 78363-5575
(361) 592-9200
(361) 592-9292

Taxonomy

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

Other

Enumeration date
05/24/2006
Last updated
10/23/2014
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