Organization
MSTAT DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO CESAR MENDOZA (PRESIDENT)
(956) 546-7888
Entity
Organization
Contact information
Practice address
2900 CENTRAL BLVD, STE B, BROWNSVILLE, TX 78520-8983
(956) 546-7888
(956) 546-7833
Mailing address
5265 RIDGELINE DR, BROWNSVILLE, TX 78526-3888
(956) 546-7888
(956) 546-7833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0097136
TX
332BC3200X
Customized Equipment (DME)
0097136
TX
332BN1400X
Nursing Facility Supplies (DME)
0097136
TX
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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