Healthcare Provider Details

I. General information

NPI: 1871752063
Provider Name (Legal Business Name): DEL VALLE MEDICAL SUPPLY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2008
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 W NOLANA LOOP STE D
PHARR TX
78577-7934
US

IV. Provider business mailing address

924 W NOLANA LOOP STE D
PHARR TX
78577-7934
US

V. Phone/Fax

Practice location:
  • Phone: 956-627-3338
  • Fax: 956-627-3487
Mailing address:
  • Phone: 956-627-3338
  • Fax: 956-627-3487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: DANIEL JAMES CORONADO
Title or Position: OWNER
Credential:
Phone: 956-458-6131