Provider Demographics
NPI:1356413603
Name:UNITED DME INC
Entity type:Organization
Organization Name:UNITED DME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER FIELD MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELEON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-969-0640
Mailing Address - Street 1:918 S UTAH
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596
Mailing Address - Country:US
Mailing Address - Phone:956-969-0640
Mailing Address - Fax:956-969-0709
Practice Address - Street 1:918 S UTAH
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596
Practice Address - Country:US
Practice Address - Phone:956-969-0640
Practice Address - Fax:956-969-0709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171797702Medicaid
TX171797701Medicaid
TX171797702Medicaid