Organization
HACIENDA MEDICAL EQUIPMENT AND SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENTE ALBERTO GUTIERREZ (PARTNER)
(956) 687-2223
Entity
Organization
Contact information
Practice address
5520 N. MCCOLL RD, STE 'I', MCALLEN, TX 78504-2242
(956) 687-2223
(956) 687-2230
Mailing address
5500 N. MCCOLL RD., BLDG D PMB#109, MCALLEN, TX 78504-2242
(956) 687-2223
(956) 687-2230
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0094109
TX
Other
Enumeration date
04/17/2007
Last updated
06/03/2011
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