Provider Demographics
NPI:1700446713
Name:DME EXPRESS LLC
Entity Type:Organization
Organization Name:DME EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELSA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIROGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-369-9092
Mailing Address - Street 1:1313 SE MILITARY DR STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78214-2850
Mailing Address - Country:US
Mailing Address - Phone:210-369-9092
Mailing Address - Fax:210-369-9388
Practice Address - Street 1:1313 SE MILITARY DR STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78214-2850
Practice Address - Country:US
Practice Address - Phone:210-369-9092
Practice Address - Fax:210-369-9388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX205147601Medicaid
TX205147602Medicaid
TX205147601Medicaid