Organization
ALLSTATE DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARANGO JORGE (ADMINISTRATOR)
(956) 627-3767
Entity
Organization
Contact information
Practice address
1103 N RAUL LONGORIA RD STE C, SAN JUAN, TX 78589-3600
(956) 627-3767
(956) 627-3776
Mailing address
1103 N RAUL LONGORIA RD STE C, SAN JUAN, TX 78589-3600
(956) 627-3767
(956) 627-3776
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0109608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109608
TEXAS STATE LICENSE
TX
Enumeration date
04/07/2009
Last updated
10/02/2015
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