Organization
SEGRUF, L.L.C.
Active
Other names
Elite DME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIZETTE MARTINEZ RN (VICE PRESIDENT)
(915) 256-7161
Entity
Organization
Contact information
Practice address
3465 LEE BLVD STE 233, EL PASO, TX 79936-1475
(915) 855-6996
(915) 855-6988
Mailing address
3465 LEE BLVD STE 233, EL PASO, TX 79936-1475
(915) 855-6996
(915) 855-6988
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1000329
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1000329
TX
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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