Provider Demographics
NPI:1992755631
Name:MOASH DURABLE MEDICAL EQUIPMENT LTD
Entity type:Organization
Organization Name:MOASH DURABLE MEDICAL EQUIPMENT LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-782-7709
Mailing Address - Street 1:1041 ELLIS AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516-2749
Mailing Address - Country:US
Mailing Address - Phone:956-782-7709
Mailing Address - Fax:956-782-7748
Practice Address - Street 1:1041 ELLIS AVE
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-2749
Practice Address - Country:US
Practice Address - Phone:956-782-7709
Practice Address - Fax:956-782-7748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies