Organization
JAVIER ROCHA
Active
Other names
San Miguel Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER ROCHA PT (OWNER)
(956) 994-3904
Entity
Organization
Contact information
Practice address
5407 N MCCOLL RD, SUITE A-2, MCALLEN, TX 78504-2250
(956) 994-3904
(956) 994-3951
Mailing address
5407 N MCCOLL RD, SUITE A-2, MCALLEN, TX 78504-2250
(956) 994-3904
(956) 994-3951
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0077185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170305001
—
TX
05
—
170305002
—
TX
Enumeration date
02/24/2006
Last updated
06/30/2009
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