Organization
VALLEY MEDICAL SUPPLY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMIRO MARTINEZ (MANGER)
(956) 630-5999
Entity
Organization
Contact information
Practice address
200 E EXPRESSWAY 83, SUITE P, PHARR, TX 78577-6507
(956) 702-1100
(956) 702-1104
Mailing address
200 E EXPRESSWAY 83, SUITE P, PHARR, TX 78577-6507
(956) 702-1100
(956) 702-1104
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197151701
—
TX
05
—
197151702
—
TX
Enumeration date
01/17/2008
Last updated
12/06/2010
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