Provider Demographics
NPI:1730278961
Name:A & S MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:A & S MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-447-5220
Mailing Address - Street 1:404 S NEBRASKA AVE
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6024
Mailing Address - Country:US
Mailing Address - Phone:956-447-5220
Mailing Address - Fax:956-447-5222
Practice Address - Street 1:404 S NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6024
Practice Address - Country:US
Practice Address - Phone:956-447-5220
Practice Address - Fax:956-447-5222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0084936332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178429001Medicaid
TX178429002Medicaid
TX178429002Medicaid