Organization
ROLAND GUERRA
Active
Other names
Prime Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND GUERRA (OWNER/OPERATOR)
(956) 607-3474
Entity
Organization
Contact information
Practice address
924 W NOLANA LOOP, C, PHARR, TX 78577-7931
(956) 782-5555
Mailing address
924 W NOLANA LOOP, C, PHARR, TX 78577-7931
(956) 782-5555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Enumeration date
02/06/2009
Last updated
01/28/2011
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