Healthcare Provider Details
I. General information
NPI: 1235033903
Provider Name (Legal Business Name): DELVIC HEALTH SYSTEMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2868 EL INDIO HWY UNIT 1
EAGLE PASS TX
78852-6404
US
IV. Provider business mailing address
476 S BIBB AVE STE C194
EAGLE PASS TX
78852-5382
US
V. Phone/Fax
- Phone: 210-560-5403
- Fax:
- Phone: 210-560-5403
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MR.
VICTOR
ACEVEDO
JR.
Title or Position: MANAGING PARTNER
Credential:
Phone: 210-560-5403