Organization
EL PANCIERA INC
Active
Other names
Boca Chica Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMIL LEE PANCIERA RRT (PRESIDENT)
(956) 542-4375
Entity
Organization
Contact information
Practice address
17 BOCA CHICA BLVD, SUITE A, BROWNSVILLE, TX 78520-7813
(956) 542-4375
(956) 542-4056
Mailing address
17 BOCA CHICA BLVD, SUITE A, BROWNSVILLE, TX 78520-7813
(956) 542-4375
(956) 542-4056
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0065168
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0065168
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
56083
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177128901
—
TX
05
—
177128902
—
TX
Enumeration date
12/08/2005
Last updated
04/25/2012
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