Organization
LA FUENTE DME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL ARTURO ZAMORA (PRESIDENT)
(956) 485-2400
Entity
Organization
Contact information
Practice address
307 E EXPRESSWAY 83, SULLIVAN CITY, TX 78595
(956) 485-1200
(956) 485-1201
Mailing address
PO BOX 280, SULLIVAN CITY, TX 78595-0280
(956) 485-1200
(956) 485-1201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172765301
—
TX
Enumeration date
08/15/2005
Last updated
07/15/2021
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