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Organization
VICTOR GOMEZ VANVAL ENTERPRISE
Active
Organization
VICTOR GOMEZ VANVAL ENTERPRISE
Active
Other names
VanVal Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR GOMEZ R.T. (OWNER)
(915) 593-3556
Entity
Organization
Contact information
Practice address
11601 PELLICANO DR, SUITE B8, EL PASO, TX 79936-6279
(915) 593-3556
(915) 595-6556
Mailing address
11601 PELLICANO DR, SUITE B8, EL PASO, TX 79936-6279
(915) 593-3556
(915) 595-6556
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0055163
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0055163
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0055163
TX
Other
Enumeration date
06/24/2005
Last updated
10/25/2012
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