Organization
EXCEL HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO BALDERRAMA LVN (OWNER)
(903) 574-2520
Entity
Organization
Contact information
Practice address
11490 FM 2868, BLG 2 UNIT1, FLINT, TX 75762-0298
(903) 574-2520
Mailing address
PO BOX 298, FLINT, TX 75762-0298
(903) 574-2520
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0089053
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0089053
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0089053
TX
Other
Enumeration date
08/01/2006
Last updated
09/11/2025
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