Organization
MILAGRO MEDICAL COMPANY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP SAM ABRAHAM (PRESIDENT)
(956) 827-7082
Entity
Organization
Contact information
Practice address
601 W PECAN BLVD STE 2, MCALLEN, TX 78501-2413
(956) 827-7082
Mailing address
601 W PECAN BLVD STE 2, MCALLEN, TX 78501-2413
(956) 827-7082
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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