Provider Demographics
NPI:1386747723
Name:SITAL, OMAR M (SR)
Entity type:Individual
Prefix:MR
First Name:OMAR
Middle Name:M
Last Name:SITAL
Suffix:
Gender:M
Credentials:SR
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:112 EAST 11TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572
Mailing Address - Country:US
Mailing Address - Phone:956-583-2800
Mailing Address - Fax:956-583-2805
Practice Address - Street 1:112 E 11TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-4163
Practice Address - Country:US
Practice Address - Phone:956-583-2800
Practice Address - Fax:956-583-2805
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies