MEDICARE: MEDIFORCE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1001634	OTHER	TX	TX DEPARTMENT OF STATE SERVICES

General Provider Information

NPI Number	:	1720555113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDIFORCE, LLC

Provider Business Mailing Address
First Line	:	501 N ED CAREY DR STE A
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-7982
Country	:	US
Telephone Number	:	956-423-6333
Fax Number	:	956-423-6331

Provider Business Practice Location Address
First Line	:	2612 N MCCOLL RD
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-5502
Country	:	US
Telephone Number	:	956-731-6651
Fax Number	:	956-731-6698

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DANNY P ACEBEDO
Credential	:
Telephone Number	:	956-423-6333

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	03/04/2022

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Directions to “MEDIFORCE, LLC ” Practice Location

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