Provider Demographics
NPI:1558685636
Name:HOME DME, INC.
Entity Type:Organization
Organization Name:HOME DME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-729-8881
Mailing Address - Street 1:14701 ATLANTA DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-7976
Mailing Address - Country:US
Mailing Address - Phone:956-729-8881
Mailing Address - Fax:956-729-8882
Practice Address - Street 1:14701 ATLANTA DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-7976
Practice Address - Country:US
Practice Address - Phone:956-729-8881
Practice Address - Fax:956-729-8882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies