Individual
PEDRO MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N VERMONT AVE, SUITE #A, MERCEDES, TX 78570-2519
(956) 565-9438
(956) 565-9398
Mailing address
50 N VERMONT AVE, SUITE #A, MERCEDES, TX 78570-2519
(956) 565-9438
(956) 565-9398
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11420096429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281518501
—
TX
05
—
281518502
—
TX
Enumeration date
04/13/2012
Last updated
04/13/2012
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