Organization
LA HOMA MEDICAL EQUIPMENT & SUPPLY
Active
Other names
LA HOMA MEDICAL EQUIPMENT & SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BERTHA ALICIA MORENO (OWNER)
(956) 424-0177
Entity
Organization
Contact information
Practice address
810 E VETERANS BLVD, SUITE K, MISSION, TX 78572-5018
(956) 424-0177
(956) 424-1904
Mailing address
810 E VETERANS BLVD, SUITE K, MISSION, TX 78572-5018
(956) 424-0177
(956) 424-1904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0099179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189113701
—
TX
05
—
189113702
—
TX
Enumeration date
12/14/2007
Last updated
06/28/2011
Update your record
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