Organization
A&R VIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY SANCHEZ (GENERAL PARTNER)
(956) 585-5422
Entity
Organization
Contact information
Practice address
2017 N CONWAY AVE, SUITE B, MISSION, TX 78572-2965
(956) 585-5422
(800) 680-2738
Mailing address
2017 N CONWAY AVE, SUITE B, MISSION, TX 78572-2965
(956) 585-5422
(800) 680-2738
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/29/2011
Last updated
12/01/2011
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