Provider Demographics
NPI:1851622583
Name:A-1 MEDICAL SUPPLIES & MORE,LLC
Entity Type:Organization
Organization Name:A-1 MEDICAL SUPPLIES & MORE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-727-4000
Mailing Address - Street 1:517 SHILOH DR.
Mailing Address - Street 2:BLDG. 2 STE. 1
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-6722
Mailing Address - Country:US
Mailing Address - Phone:956-727-4000
Mailing Address - Fax:956-727-4002
Practice Address - Street 1:517 SHILOH DR
Practice Address - Street 2:BLDG. 2 STE. 1
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6722
Practice Address - Country:US
Practice Address - Phone:956-727-4000
Practice Address - Fax:956-727-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies