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Organization

MARISOL OZUNA

Active
Other names
Priority Medical Equipment
Organization subpart
No

Provider details

NPI number
Authorized official
MARISOL OZUNA (ADMINISTRATOR)
(956) 630-0023
Entity
Organization

Contact information

Practice address
923 W BUS 83, SUITE 101, MISSION, TX 78572-3668
(956) 630-0023
(956) 682-9246
Mailing address
923 W BUS 83, SUITE 101, MISSION, TX 78572-3668
(956) 630-0023
(956) 682-9246

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0074239
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164894101
TX
05
164894102
TX
Enumeration date
07/07/2006
Last updated
11/23/2010
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