Provider Demographics
NPI:1104552587
Name:ZION MEDICAL SUPPLY, LLC
Entity type:Organization
Organization Name:ZION MEDICAL SUPPLY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:ISIS
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-756-1442
Mailing Address - Street 1:401 BUSINESS 83 STE M
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-3088
Mailing Address - Country:US
Mailing Address - Phone:956-420-1959
Mailing Address - Fax:956-420-1787
Practice Address - Street 1:401 BUSINESS 83 STE M
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-3088
Practice Address - Country:US
Practice Address - Phone:956-420-1959
Practice Address - Fax:956-420-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies