Organization
DIAMOND WINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALMA GLORIA LUNA (VICE PRESIDENT)
(956) 664-1900
Entity
Organization
Contact information
Practice address
5517 N WARE RD STE 200, MCALLEN, TX 78504-5155
(956) 664-1900
(956) 630-0606
Mailing address
5517 N WARE RD STE 200, MCALLEN, TX 78504-5155
(956) 664-1900
(956) 630-0606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0065562
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
0065562
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0065562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156716601
—
TX
Enumeration date
07/26/2005
Last updated
03/22/2016
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