Healthcare Provider Details

I. General information

NPI: 1861422057
Provider Name (Legal Business Name): HEART TO HEART MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E EDINBURG AVE SUITE F
ELSA TX
78543
US

IV. Provider business mailing address

701 E EDINBURG AVE SUITE F
ELSA TX
78543-0342
US

V. Phone/Fax

Practice location:
  • Phone: 956-262-7500
  • Fax: 956-262-7515
Mailing address:
  • Phone: 956-262-7500
  • Fax: 956-262-7515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0087538
License Number StateTX

VIII. Authorized Official

Name: MRS. JESSICA MARTINEZ
Title or Position: OWNER
Credential:
Phone: 956-262-7500