Provider Demographics
NPI:1235162082
Name:MARISOL OZUNA
Entity Type:Organization
Organization Name:MARISOL OZUNA
Other - Org Name:PRIORITY MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:OZUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-630-0023
Mailing Address - Street 1:923 W BUS 83
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3668
Mailing Address - Country:US
Mailing Address - Phone:956-630-0023
Mailing Address - Fax:956-682-9246
Practice Address - Street 1:923 W BUS 83
Practice Address - Street 2:SUITE 101
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3668
Practice Address - Country:US
Practice Address - Phone:956-630-0023
Practice Address - Fax:956-682-9246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0074239332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164894101Medicaid
TX164894102Medicaid
TX164894102Medicaid