MEDICARE: MOASH DURABLE MEDICAL EQUIPMENT LTD

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	:	1992755631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOASH DURABLE MEDICAL EQUIPMENT LTD

Provider Business Mailing Address
First Line	:	1041 ELLIS AVE
Second Line	:
City	:	ALAMO
State	:	TX
Zip	:	78516-2749
Country	:	US
Telephone Number	:	956-782-7709
Fax Number	:	956-782-7748

Provider Business Practice Location Address
First Line	:	1041 ELLIS AVE
Second Line	:
City	:	ALAMO
State	:	TX
Zip	:	78516-2749
Country	:	US
Telephone Number	:	956-782-7709
Fax Number	:	956-782-7748

Authorized Official
Title or Position	:	OWNER
Name	:	RITA MCDONALD
Credential	:
Telephone Number	:	956-782-7709

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	09/12/2007

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