WEST TEXAS PROVIDER SERVICES LLC
Suppliers at Bartlett Dr, El Paso, TX

License number
Texas 33BP3500X
Category
Suppliers
Type
Parenteral & Enteral Nutrition
Owner
Name: DON D PENDERGRAS
Title: PRESIDENT
Phone: (915) 581-6644
Address
Address
200 Bartlett Dr SUITE 108, El Paso, TX 79912
National Provider ID: 1770541435
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WEST TEXAS PROVIDER SERVICES, LLC

El Paso, TX

Status:
Inactive
Industry:
Whol Medical/Hospital Equipment
Doing business as:
West Texas Provider Services, LLC
Registration:
Oct 3, 2002
Phone:
(915) 581-7960 (Phone)
Addresses:
PO Box 222216, El Paso, TX 79913 (Mailing)
200 Bartlett Dr, El Paso, TX 79912
State ID:
0800129917
Business type:
Domestic Limited Liability Company (LLC)
Directors:
D Pendergras (DIRECTOR), 815 Sunset Dr, El Paso, TX 79922,Genevieve S Pendergras (DIRECTOR), 815 Sunset Dr, El Paso, TX 79922,Don Pendergras (Director),...
Agent:
Genevieve S. Pendergras,815 Sunset Rd, El Paso, TX 79922 (Physical)
TIN:
32008584289

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