Organization
PREMIER DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONEL GUERRERO (PRESIDENT)
(956) 380-6030
Entity
Organization
Contact information
Practice address
508 W CANTON RD STE B, EDINBURG, TX 78539-6136
(956) 380-6030
(956) 383-2212
Mailing address
508 W CANTON RD STE B, EDINBURG, TX 78539-6136
(956) 380-6030
(956) 383-2212
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0088046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181427901
—
TX
05
—
181427902
—
TX
05
—
181427903
—
TX
Enumeration date
05/23/2007
Last updated
12/05/2010
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