MEDICARE: DCS DIABETIC CARE SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1548583180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DCS DIABETIC CARE SOLUTIONS

Provider Business Mailing Address
First Line	:	8201 LOCKHEED DR
Second Line	:	BUILDING 131
City	:	EL PASO
State	:	TX
Zip	:	79925-2500
Country	:	US
Telephone Number	:	915-219-5174
Fax Number	:	915-595-3900

Provider Business Practice Location Address
First Line	:	8201 LOCKHEED DR
Second Line	:	BUILDING 131
City	:	EL PASO
State	:	TX
Zip	:	79925-2500
Country	:	US
Telephone Number	:	915-219-5174
Fax Number	:	915-595-3900

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. JERRY R SARABIA
Credential	:
Telephone Number	:	915-219-5174

Provider Enumeration Date	:	03/10/2010
Last Update Date	:	03/10/2010

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