Organization
JOHN DAVID RUFFIER
Active
Other names
EL PASO DURABLE MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DAVID RUFFIER (OWNER)
(915) 593-5588
Entity
Organization
Contact information
Practice address
11601 PELLICANO DR STE B10, EL PASO, TX 79936-6055
(915) 593-5588
(915) 593-5522
Mailing address
11601 PELLICANO DR STE B10, EL PASO, TX 79936-6055
(915) 593-5588
(915) 593-5522
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
TXD 0013436
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150736001
—
TX
05
—
150737801
—
TX
01
—
531278
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/27/2006
Last updated
06/13/2008
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