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Organization

JUAN J. FLORES

Active
Other names
LA HOMA MEDICAL EQUIPMENT SUPPLY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUAN JAVIER FLORES (OWNER)
(956) 584-2800
Entity
Organization

Contact information

Practice address
1222 N DUNLAP AVE, MISSION, TX 78572-3932
(956) 584-2800
(956) 584-3275
Mailing address
2511 E 28TH ST, MISSION, TX 78574-1979
(956) 584-2800
(956) 584-3275

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159835101
TX
05
159835102
TX
Enumeration date
09/21/2006
Last updated
05/07/2009
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