| NPI | 1477547552 |
|---|---|
| Doing Business As | ADVANT EDGE HME |
| Entity Type | Organization |
| Authorized Contact | EUSTACIO RIVAS President 915-595-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 19378) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 19378) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 19378) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2012-09-10 |