Organization
DEL - GAR, LLC
Active
Other names
DIRECT MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIO DE LEON JR. (OWNER)
(361) 676-7351
Entity
Organization
Contact information
Practice address
1307 E AIRLINE RD, VICTORIA, TX 77901-4152
(361) 578-5944
(361) 578-5945
Mailing address
1307 E AIRLINE RD, VICTORIA, TX 77901-4152
(361) 578-5944
(361) 578-5945
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000102
TX
Other
Enumeration date
06/25/2009
Last updated
07/06/2010
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