Healthcare Provider Details

I. General information

NPI: 1821188178
Provider Name (Legal Business Name): FILLA ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 S. EUGENIA
ORANGE GROVE TX
78372
US

IV. Provider business mailing address

P.O. BOX 1348
ORANGE GROVE TX
78372-1348
US

V. Phone/Fax

Practice location:
  • Phone: 361-387-1716
  • Fax: 361-387-2599
Mailing address:
  • Phone: 361-384-0720
  • Fax: 361-387-2599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JAMES M FILLA
Title or Position: DOCTOR/OWNER
Credential: D.C.
Phone: 361-384-0720