Organization
DONA ANA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABRAHAM THOMAS GONZALEZ RRT (OWNER/MANAGER/REG. RESP. THERAPIST)
(575) 644-2701
Entity
Organization
Contact information
Practice address
3851 E LOHMAN AVE, SUITE #4, LAS CRUCES, NM 88011-8296
(575) 522-5931
(575) 522-4532
Mailing address
3851 E LOHMAN AVE, SUITE #4, LAS CRUCES, NM 88011-8296
(575) 522-5931
(575) 522-4532
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
02946075001
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65801571
—
NM
Enumeration date
07/28/2006
Last updated
08/07/2013
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