MEDICARE: SLCT UNLIMITED 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

General Provider Information

NPI Number	:	1932335189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLCT UNLIMITED LLC

Provider Business Mailing Address
First Line	:	PO BOX 2496
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78502-2496
Country	:	US
Telephone Number	:	956-686-7528
Fax Number	:	956-971-9534

Provider Business Practice Location Address
First Line	:	4309 N 22ND ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-4167
Country	:	US
Telephone Number	:	956-686-7528
Fax Number	:	956-971-9534

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	ESMERALDA G REYES
Credential	:
Telephone Number	:	956-686-7528

Provider Enumeration Date	:	06/02/2009
Last Update Date	:	04/05/2012

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