Organization
ACE MEDICAL DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL CHESTER CERVANTES (OWNER/CEO)
(956) 487-7115
Entity
Organization
Contact information
Practice address
3511 W HWY 83, STE 2, RIO GRANDE CITY, TX 78582
(956) 487-7115
Mailing address
3511 W. HWY 83, STE 2, RIO GRANDE CITY, TX 78582
(956) 487-7115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0090319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090319
DISTRIBUTOR LICENSE
TX
Enumeration date
07/29/2006
Last updated
07/21/2022
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