MEDICARE: QUALITY DME SOLUTIONS LLC

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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	0091649	TX
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies	0091649	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598876641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY DME SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	200 E INTERSTATE 2 STE J1
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-6506
Country	:	US
Telephone Number	:	956-213-8040
Fax Number	:	956-213-8041

Provider Business Practice Location Address
First Line	:	200 E INTERSTATE 2 STE J1
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-6506
Country	:	US
Telephone Number	:	956-213-8040
Fax Number	:	956-213-8041

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JUAN JACINTO FARIAS
Credential	:
Telephone Number	:	956-213-8040

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	02/18/2020

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Directions to “QUALITY DME SOLUTIONS LLC ” Practice Location

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