Organization
M OLIVEIRA DME INC.
Active
Other names
MEDIQUIP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG ALLEN (PRESIDENT/OWNER)
(956) 618-2040
Entity
Organization
Contact information
Practice address
105 E INTERSTATE 2, SUITE D, PHARR, TX 78577-1720
(956) 781-1713
(956) 223-2651
Mailing address
105 E INTERSTATE 2, SUITE D, PHARR, TX 78577-6562
(956) 781-1713
(956) 223-2651
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0012749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179370501 - CCP
—
TX
05
—
179370502 - DM2
—
TX
Enumeration date
10/10/2006
Last updated
09/28/2021
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