NPI 1114399144
Advanced Elite Dme
Practice location
- Address
- 1165 E Main St STE D, Alice, TX 78332-5046
- Phone
- (361) 453-4555
- Mailing address
- PO Box 390, Alice, TX 78333-0390
Authorised official
- Name
- Roberto Diaz
- Title
- Owner
- Phone
- (361) 701-0871
Registered specialties
Oxygen Equipment & Supplies (DME)
Primary
Registry record
- NPI
- 1114399144
- Entity type
- Organization
- NPI issued
- 29 Oct 2015
- Record last updated
- 26 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.