Organization
AZUART DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO A ARTEAGA (OWNER/PRESIDENT)
(956) 467-9896
Entity
Organization
Contact information
Practice address
1006 SAN FRANCISCO ST, SAN JUAN, TX 78589-3816
(956) 467-9896
Mailing address
1006 SAN FRANCISCO ST, SAN JUAN, TX 78589-3816
(956) 467-9896
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
332BC3200X
TX
332100000X
Department of Veterans Affairs (VA) Pharmacy
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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