Organization
JORGE L. PENA INC
Active
Other names
Ox-Y-Care Medical Equipment and Supples
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE L. PENA RRT,BBA (CEO)
(956) 928-1720
Entity
Organization
Contact information
Practice address
510 S BROADWAY ST, MCALLEN, TX 78501-4904
(956) 928-1720
(956) 928-1730
Mailing address
510 S BROADWAY ST, MCALLEN, TX 78501-4904
(956) 928-1720
(956) 928-1730
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0076385
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0076385
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0076385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169330101
—
TX
05
—
169330102
—
TX
Enumeration date
11/01/2006
Last updated
11/29/2011
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