Alamo Fiesta Medical Supply
Organization Active NPI Durable Medical Equipment & Medical Supplies · Alamo, TX
NPI 1144360348 · NPPES record last updated Jun 27, 2011
Key facts
- NPI
- 1144360348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 0076352 (TX)
- Legal business name
- ALAMO FIESTA MEDICAL SUPPLY
- Practice address
- 1040 West Ellis
Alamo, TX 78516-2593 - Phone
- (956) 702-1848
- Fax
- (956) 702-1852
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Julieta Quirino
- Title
- Owner
- Phone
- (956) 702-2167
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0076352 | TX | Yes |
Addresses
Primary practice location
1040 West Ellis
Alamo, TX 78516-2593
Mailing address
Box 3716
Alamo, TX 78516
Phone (956) 702-1848
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172063302 | Medicaid | TX | |
| 172063301 | Medicaid | TX |
Other providers in Alamo, TX
- Michael Afolabi Adeyemo
- Mariel Aguirre
- Alamitos Hospice Care LLC
- Alamo Dental and Orthodontics PLLC
- Alamo Dental Center PA
- Alanis Dental Center, PA
- Felipe Eduardo Alanis
- Raul Alaniz
- Rolando Alaniz
- Selene Abigail Alcala Gomez
All providers in Alamo, TX · Durable Medical Equipment & Medical Supplies in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.