Organization
PEDRO MEDRANO
Active
Other names
GO DME Medical Equipment & Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO MEDRANO (OWNER/ ADDMINISTRATOR)
(956) 565-9438
Entity
Organization
Contact information
Practice address
50 N VERMONT AVE, SUITE #A, MERCEDES, TX 78570-2519
(956) 565-9438
Mailing address
909 IVY AVE, DONNA, TX 78537-3978
(956) 355-1413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11420096429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281518501
—
TX
05
—
281518502
—
TX
Enumeration date
10/19/2009
Last updated
03/20/2013
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