Provider Demographics
NPI:1437471349
Name:HOPE & MIRACLE DME
Entity Type:Organization
Organization Name:HOPE & MIRACLE DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELVA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-240-0324
Mailing Address - Street 1:4301 WHITNEY CIR
Mailing Address - Street 2:STE C
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-0356
Mailing Address - Country:US
Mailing Address - Phone:956-217-2775
Mailing Address - Fax:
Practice Address - Street 1:4301 WHITNEY CIR
Practice Address - Street 2:STE C
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-0356
Practice Address - Country:US
Practice Address - Phone:956-217-2775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies