Provider Demographics
NPI:1326066762
Name:MEMO ENTERPRISES LLC
Entity Type:Organization
Organization Name:MEMO ENTERPRISES LLC
Other - Org Name:MEP POINT DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-466-9402
Mailing Address - Street 1:2728 BOCA CHICA BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3550
Mailing Address - Country:US
Mailing Address - Phone:956-504-6331
Mailing Address - Fax:956-504-6338
Practice Address - Street 1:2728 BOCA CHICA SUITE C.
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-9401
Practice Address - Country:US
Practice Address - Phone:956-504-6331
Practice Address - Fax:956-504-6338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies