Eagle Pass Home Medical Supply LLC
NPI #1588646863 in Eagle Pass, Texas
Provider Information
- NPI Number
- 1588646863
- Entity Type
- Organization
- Organization Name
- Eagle Pass Home Medical Supply LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 14, 2005
- Last Updated
- Oct 20, 2009
Practice Location
- Address
- 2822 N VETERANS BLVD STE C
- City
- Eagle Pass
- State
- Texas
- ZIP Code
- 78852-4819
- Phone
- (830) 773-0171
Authorized Official
- Name
- KENNETH EDWARD WIESE
- Title
- GENERAL MANAGER
- Phone
- (830) 775-4060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
| Durable Medical Equipment & Medical Supplies |
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