Organization
SANTE MEDICAL SUPPLY LLC
Active
Other names
D.B.A. St. Jude Medical Equipment and Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACIELA GUERRA (OWNER)
(956) 542-1988
Entity
Organization
Contact information
Practice address
1284 PAREDES LINE, SUITE 1, BROWNSVILLE, TX 78521-1715
(956) 542-1988
(956) 542-0988
Mailing address
1284 PAREDES LINE, SUITE 1, BROWNSVILLE, TX 78521-1715
(956) 542-1988
(956) 542-0988
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101608
—
TX
05
—
175275001
—
TX
05
—
175275002
—
TX
Enumeration date
10/14/2006
Last updated
04/01/2010
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