Organization
DEWITT MEDICAL DISTRICT
Active
Other names
CUERO COMMUNITY HOSPITAL DME
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA DANIEL (COMPLIANCE OFFICER)
(361) 275-6191
Entity
Organization
Contact information
Practice address
2550 N ESPLANADE ST, CUERO, TX 77954-4736
(361) 524-6130
(361) 524-6131
Mailing address
2550 N ESPLANADE ST, CUERO, TX 77954-4736
(361) 524-6130
(361) 524-6131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
534532
BCBS DME PROVIDER ID
TX
Enumeration date
10/24/2016
Last updated
09/29/2021
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