Organization
JACKSON DURABLE MEDICAL EQUIPMENT LLC
Active
Other names
VALLEY MEDICAL DEPOT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMED MONIF NAZIF (OWNER)
(956) 682-6769
Entity
Organization
Contact information
Practice address
5510 S JACKSON RD, EDINBURG, TX 78539-9902
(956) 682-6769
(956) 682-4447
Mailing address
5510 S JACKSON RD, EDINBURG, TX 78539-9902
(956) 682-6769
(956) 682-4447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5232270001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171204401
—
TX
Enumeration date
08/20/2006
Last updated
09/30/2011
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