# VICTOR GOMEZ VANVAL ENTERPRISE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VanVal Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174529945
- **Authorized official:** MR. VICTOR GOMEZ R.T. (OWNER)
- **Authorized official phone:** (915) 593-3556

## Contact information

- **Practice address:** 11601 PELLICANO DR, SUITE B8, EL PASO, TX 79936-6279
- **Practice address phone:** (915) 593-3556
- **Practice address fax:** (915) 595-6556
- **Mailing address:** 11601 PELLICANO DR, SUITE B8, EL PASO, TX 79936-6279
- **Mailing address phone:** (915) 593-3556
- **Mailing address fax:** (915) 595-6556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0055163 | TX | Yes |
| 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