Organization
MIRIAM'S DME, LLC
Active
Other names
Lillian's DME
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C ROSALES (PRESIDENT)
(956) 440-1600
Entity
Organization
Contact information
Practice address
2323 N ED CAREY DR, SUITE 7, HARLINGEN, TX 78550-8231
(956) 440-1600
(956) 440-1603
Mailing address
2112 W UNIVERSITY DR, P.M.B 1251, EDINBURG, TX 78539-2862
(956) 440-1600
(956) 440-1603
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203340901
—
TX
05
—
203340902
—
TX
Enumeration date
12/17/2008
Last updated
12/21/2009
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