MEDICARE: URGENT CARE DME INC

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	:	1871129072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT CARE DME INC

Provider Business Mailing Address
First Line	:	8401 BOEING DR UNIT 971010
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79997-0003
Country	:	US
Telephone Number	:	915-271-4402
Fax Number	:

Provider Business Practice Location Address
First Line	:	3130 GATEWAY BLVD E
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79905-1015
Country	:	US
Telephone Number	:	915-594-8070
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DR. RICHARD SAFFA SENNESSIE
Credential	:
Telephone Number	:	915-256-9400

Provider Enumeration Date	:	03/19/2020
Last Update Date	:	12/03/2021

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