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NEW MOON EXPRESS SERVICE CORP NPI 1982936456


NPI Information

NPI: 1982936456
Provider Name: NEW MOON EXPRESS SERVICE CORP

Former Legal Business Name: NEW MOON EXPRESS SERVICE CORP

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1313 W POLK AVE STE 19
PHARR, TX
ZIP 78577
Phone: (956) 781-4600
Get Directions

NEW MOON EXPRESS SERVICE CORP is a durable medical equipment medical supplies in Pharr, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NEW MOON EXPRESS SERVICE CORP NPI is 1982936456. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is New Moon Express Service Corp.

The provider's business location address is:

1313 W POLK AVE STE 19
PHARR, TX
ZIP 78577-141
Phone: (956) 781-4600
Fax: (956) 781-4678

The provider's authorized official is Ana Gloria Berra .
The authorized official title is President and has the following contact phone number (956) 331-0151.

The enumeration date for this NPI number is 2/8/2010 and was last updated on 3/21/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16490520001MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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