=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295898104
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VAL-TEX MEDICAL EQUIPMENT, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/19/2006
-----------------------------------------------------
Last Update Date | 08/13/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 954 W PRICE RD
-----------------------------------------------------
City | BROWNSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78520-8704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-350-5223
-----------------------------------------------------
Fax | 956-350-6946
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 954 W PRICE RD
-----------------------------------------------------
City | BROWNSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78520-8704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-350-5223
-----------------------------------------------------
Fax | 956-350-6946
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. GUILLERMO CHAPA JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 956-350-5223
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 0041048
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332BP3500X
-----------------------------------------------------
Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
-----------------------------------------------------
License Number | 0041048
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number | 0041048
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------