Organization
MCMJ INC.
Active
Other names
Reliable Medical Equipment & Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD BUSTOS (OWNER)
(956) 542-6400
Entity
Organization
Contact information
Practice address
2686 W ALTON GLOOR BLVD, SUITE 2, BROWNSVILLE, TX 78520-4054
(956) 542-6400
(956) 542-6401
Mailing address
2686 W ALTON GLOOR BLVD, SUIE 2, BROWNSVILLE, TX 78520-4054
(956) 542-6400
(956) 542-6401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176568701
—
TX
Enumeration date
04/20/2006
Last updated
05/21/2009
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