Healthcare Provider Details

I. General information

NPI: 1306089842
Provider Name (Legal Business Name): VIX MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7109 N. BARTLETT AVE. SUITE 103
LAREDO TX
78041-7330
US

IV. Provider business mailing address

7109 N. BARTLETT AVE. SUITE 103
LAREDO TX
78041-7330
US

V. Phone/Fax

Practice location:
  • Phone: 956-724-8491
  • Fax: 956-724-8492
Mailing address:
  • Phone: 956-724-8491
  • Fax: 956-724-8492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1000054
License Number StateTX

VIII. Authorized Official

Name: MR. VICTOR M. VASQUEZ JR.
Title or Position: OWNER
Credential:
Phone: 956-724-8491