Organization
ZION DURABLE MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CARRASCO JR. (PRESIDENT)
(956) 797-9999
Entity
Organization
Contact information
Practice address
401 JAMES RICHARD CLOSNER DR, A BOX 1, LA FERIA, TX 78559-3057
(956) 797-9999
(956) 797-9990
Mailing address
401 JAMES RICHARD CLOSNER DR, A BX 1, LA FERIA, TX 78559-3057
(956) 797-9999
(956) 797-9990
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184218901
MEDICAID CROSSOVER
TX
05
—
184218902
—
TX
Enumeration date
11/13/2006
Last updated
08/17/2010
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