Provider Demographics
NPI:1154567923
Name:COLIN DME
Entity type:Organization
Organization Name:COLIN DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALHELIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RENDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-212-5307
Mailing Address - Street 1:1606 E HWY 77
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-5467
Mailing Address - Country:US
Mailing Address - Phone:956-212-5307
Mailing Address - Fax:956-399-7775
Practice Address - Street 1:1606 E HWY 77
Practice Address - Street 2:SUITE C
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-5467
Practice Address - Country:US
Practice Address - Phone:956-212-5307
Practice Address - Fax:956-399-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6295390001Medicare NSC