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NPI Code Detail

MEDICARE: DEL VALLE MEDICAL SUPPLY LLC

MEDICARE: DEL VALLE MEDICAL SUPPLY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720618754
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEL VALLE MEDICAL SUPPLY LLC
Provider Business Mailing Address
First Line : 1510 W DOVE AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78504-3439
Country : US
Telephone Number : 956-627-3338
Fax Number : 956-627-3487
Provider Business Practice Location Address
First Line : 1510 W DOVE AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78504-3439
Country : US
Telephone Number : 956-627-3338
Fax Number : 956-627-3487
Authorized Official
Title or Position : OWNER
Name : MARIO DANIEL FLORES JR.
Credential :
Telephone Number : 956-627-3338
Provider Enumeration Date : 01/17/2020
Last Update Date : 02/12/2020

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Directions to “DEL VALLE MEDICAL SUPPLY LLC ” Practice Location

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