Organization
ERGO MEDIQ,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONIA YVONNE ANCISO (ADMINISTRATOR)
(956) 630-9950
Entity
Organization
Contact information
Practice address
929 E ESPERANZA AVE UNIT 24, MCALLEN, TX 78501-1472
(956) 630-9950
Mailing address
929 E ESPERANZA AVE UNIT 24, MCALLEN, TX 78501-1472
(956) 212-8005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183926801
—
TX
05
—
183926802
—
TX
Enumeration date
05/15/2006
Last updated
05/16/2015
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