Organization
DME DEPOT LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN TOMERLIN (PRESIDENT GENERAL MANAGER)
(210) 564-0100
Entity
Organization
Contact information
Practice address
5233 I H 37, SUITE B18, CORPUS CHRISTI, TX 78408-2521
(361) 992-5353
(361) 992-5474
Mailing address
5233 I H 37, SUITE B18, CORPUS CHRISTI, TX 78408-2521
(361) 992-5353
(361) 992-5474
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0071686
TX
332BC3200X
Customized Equipment (DME)
0071686
TX
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164195301
—
TX
05
—
164195302
—
TX
05
—
164195303
—
TX
05
—
164195304
—
TX
01
—
531558
BCBS
TX
Enumeration date
08/18/2005
Last updated
11/19/2011
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