Healthcare Provider Details

I. General information

NPI: 1134257017
Provider Name (Legal Business Name): ALEAFDMELLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4004 WHITE OAK DRIVE
MISSION TX
78572
US

IV. Provider business mailing address

527 W. VETERANS BLVD SUITE F
MISSION TX
78574
US

V. Phone/Fax

Practice location:
  • Phone: 956-580-2500
  • Fax: 956-580-2505
Mailing address:
  • Phone: 956-580-2500
  • Fax: 956-580-2505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. MELINDA GARZA
Title or Position: OWNER
Credential:
Phone: 956-580-2500