MEDICARE: ALC FAST SERVICES INC

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

General Provider Information

NPI Number	:	1770758906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALC FAST SERVICES INC

Provider Business Mailing Address
First Line	:	4307 N 10TH ST
Second Line	:	SUITE G7
City	:	MCALLEN
State	:	TX
Zip	:	78504-3056
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4307 N 10TH ST
Second Line	:	SUITE G7
City	:	MCALLEN
State	:	TX
Zip	:	78504-3056
Country	:	US
Telephone Number	:	956-483-6309
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDYS L CONDES
Credential	:
Telephone Number	:	956-483-6309

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	04/29/2008

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