Organization
NIC DME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON POOLE (OFFICE MANAGER)
(956) 994-9424
Entity
Organization
Contact information
Practice address
3120 CENTER POINT DR, EDINBURG, TX 78539-4804
(956) 994-9424
(956) 994-9828
Mailing address
3120 CENTER POINT DR, EDINBURG, TX 78539-4804
(956) 994-9424
(956) 994-9828
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531609
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/02/2006
Last updated
07/19/2007
Update your record
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