Provider Demographics
NPI:1710552690
Name:BEST CHOICE MEDICAL SUPPLIES DME LLC
Entity Type:Organization
Organization Name:BEST CHOICE MEDICAL SUPPLIES DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:DILYLA
Authorized Official - Last Name:CANTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-615-4393
Mailing Address - Street 1:1111 FLORES AVE
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-6324
Mailing Address - Country:US
Mailing Address - Phone:956-615-4393
Mailing Address - Fax:
Practice Address - Street 1:1111 FLORES AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-6324
Practice Address - Country:US
Practice Address - Phone:956-615-4393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies