Healthcare Provider Details
I. General information
NPI: 1215675673
Provider Name (Legal Business Name): LOCAL RGV DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2022
Last Update Date: 11/25/2025
Certification Date: 01/11/2025
Deactivation Date: 11/04/2025
Reactivation Date: 11/25/2025
III. Provider practice location address
3000 N MCCOLL RD STE 18
MCALLEN TX
78501-1476
US
IV. Provider business mailing address
3000 N MCCOLL RD STE 18
MCALLEN TX
78501-1476
US
V. Phone/Fax
- Phone: 956-598-8869
- Fax: 956-948-4647
- Phone: 956-598-8869
- Fax: 956-948-4647
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MERCY
FLORES
Title or Position: ADMINISTRATOR
Credential:
Phone: 956-598-8869