Provider Demographics
NPI:1730348574
Name:HOME DME INC
Entity type:Organization
Organization Name:HOME DME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA-GONGORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-791-2406
Mailing Address - Street 1:8405 EL GATO RD
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-1832
Mailing Address - Country:US
Mailing Address - Phone:956-791-2406
Mailing Address - Fax:956-729-8882
Practice Address - Street 1:8405 EL GATO RD
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-1832
Practice Address - Country:US
Practice Address - Phone:956-791-2406
Practice Address - Fax:956-729-8882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies