OrganizationActive
Homecare Medical Equipment
NPI 1093823296 · Parenteral & Enteral Nutrition Supplies (DME) · Alice, TX
Provider details
- NPI number
- 1093823296
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Ronald Benavidez, Owner(361) 664-0991
- License
- TX0011732 (TX)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
717 Flournoy Rd
Alice, TX 78332-4003
Phone: (361) 664-0991
Fax: (361) 664-4999
Approximate (ZIP-level) locationGet directions
Mailing address
717 Flournoy Rd
Alice, TX 78332-4003
Registry dates
- Enumerated
- 2006-08-28
- Last updated
- 2022-09-19
- Certified
- 2022-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.