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Organization

EXPRESS DME & SUPPLY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OMAR LEDEZMA (PRESIDENT)
(956) 781-4004
Entity
Organization

Contact information

Practice address
802 E EXPRESSWAY 83, STE D, PHARR, TX 78577-6524
(956) 781-4004
(956) 781-4304
Mailing address
802 E EXPRESSWAY 83, STE D, PHARR, TX 78577-6524
(956) 781-4004
(956) 781-4304

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0087790
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180374401
TX
05
180374402
TX
Enumeration date
10/25/2006
Last updated
01/30/2012
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