EAGLE PASS HOME MEDICAL SUPPLY LLC
Medical Equipment Supplier Yellow Pages
Eagle Pass, Texas
Provider NPI: 1588646863
Organization Information:Organization Name: EAGLE PASS HOME MEDICAL SUPPLY LLC
Practice Location:
2822 N VETERANS BLVD STE C EAGLE PASS, TX 78852 US
Tel: 830-773-0171 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2822 N VETERANS BLVD STE C EAGLE PASS, TX 78852 US
Tel: 830-773-0171 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | TX | 0082296 |
N | 332BX2000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
175884902 | TX | 05 | |
INSURANCE PROVIDER ID | 507642 | TX | 01 |
175884901 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin