| NPI | 1205082658 |
|---|---|
| Doing Business As | PRODUCTIVE LIFE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | NOEMI VILLARREAL VP 956-580-7577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2022-01-04 |