Organization
PA MI GENTE DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA BARBOZA (ADMINISTRATOR)
(956) 463-6962
Entity
Organization
Contact information
Practice address
200 W EXPRESSWAY 83, STE E, SAN JUAN, TX 78589-3641
(956) 783-9500
Mailing address
200 W EXPRESSWAY 83, STE E, SAN JUAN, TX 78589-3641
(956) 783-9500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219669301
—
TX
05
—
219669302
—
TX
Enumeration date
05/04/2010
Last updated
05/19/2011
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