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Organization

BRENDA AMADOR

Active
Other names
SEMPER FI MEDICAL AND OXYGEN SUPPLY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LIONEL G AMADOR (OWNER)
(956) 782-8222
Entity
Organization

Contact information

Practice address
806 W. BUS. 83 STE. H, SAN JUAN, TX 78589-3444
(956) 782-8222
(956) 782-8223
Mailing address
806 W. BUS. 83 STE. H, SAN JUAN, TX 78589-3444
(956) 782-8222
(956) 782-8223

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0091836
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0091836
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183610802
TX
Enumeration date
09/20/2006
Last updated
07/01/2010
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