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Organization

SAN JUAN DME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YVONNE FRANCIS LOPEZ (PRESIDENT)
(956) 781-8600
Entity
Organization

Contact information

Practice address
2604 N RAUL LONGORIA RD, SUITE 203, SAN JUAN, TX 78589-4283
(956) 781-8600
(956) 781-8606
Mailing address
2604 N RAUL LONGORIA RD, SUITE 203, SAN JUAN, TX 78589-4283
(956) 781-8600
(956) 781-8606

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/05/2016
Last updated
02/13/2018
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