Organization
INOVA CUSTOM HOMES
Active
Other names
inova dme
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL KANGUR (OWNER)
(915) 630-5799
Entity
Organization
Contact information
Practice address
12420 SOMBRA FUERTE DR, EL PASO, TX 79938-4487
(915) 630-5799
Mailing address
12420 SOMBRA FUERTE DR, EL PASO, TX 79938-4487
(915) 630-5799
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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