Organization
PROFESSIONAL MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA DELAGARZA (OFFICE MANAGER)
(956) 565-6262
Entity
Organization
Contact information
Practice address
4106 N 22ND ST, STE3, MCALLEN, TX 78504-4147
(956) 565-6262
(956) 565-6265
Mailing address
4106 N 22ND ST, STE3, MCALLEN, TX 78504-4147
(956) 565-6262
(956) 565-6265
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
32016424254
TX
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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