Organization
MED STAR MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CESAR VERA (OWNER)
(956) 487-0472
Entity
Organization
Contact information
Practice address
2915 ALPHA ST, RIO GRANDE CITY, TX 78582
(956) 487-0472
(956) 487-0486
Mailing address
2915 ALPHA STREET, RIO GRANDE CITY, TX 78582
(956) 487-0472
(956) 487-0486
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180429601
—
TX
05
—
180429602
—
TX
Enumeration date
05/23/2006
Last updated
01/20/2009
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