Organization
MENDEZ MEDICAL, LLC
Active
Other names
Mendez Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX MENDEZ RRT (OWNER)
(580) 303-9275
Entity
Organization
Contact information
Practice address
209 W BROADWAY AVE, ELK CITY, OK 73644-4741
(580) 303-9275
(580) 303-9236
Mailing address
209 W. BROADWAY, ELK CITY, OK 73644-4741
(580) 303-9275
(580) 303-9236
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100796430A
—
OK
Enumeration date
05/20/2009
Last updated
05/20/2009
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