Provider Demographics
NPI:1932115359
Name:M & M DME LLC
Entity Type:Organization
Organization Name:M & M DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:SANTOS
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-550-9900
Mailing Address - Street 1:864 CENTRAL BLVD STE 500A
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7501
Mailing Address - Country:US
Mailing Address - Phone:956-550-9900
Mailing Address - Fax:
Practice Address - Street 1:864 CENTRAL BLVD STE 500A
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7501
Practice Address - Country:US
Practice Address - Phone:956-550-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
332BC3200X, 343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184752702Medicaid
TX0092156OtherTEXAS DEPARTMENT OF HEALTH
TX184752701Medicaid
TX5807280001Medicare NSC