Organization
M.L. VALENCIA FAMILY, L.P.
Active
Other names
Valleywide DME
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ARANGO (ADMINISTRATOR)
(956) 783-9112
Entity
Organization
Contact information
Practice address
1103 N RAUL LONGORIA RD, SAN JUAN, TX 78589-3600
(956) 783-9112
(956) 787-4586
Mailing address
1103 N RAUL LONGORIA RD, SAN JUAN, TX 78589-3600
(956) 783-9112
(956) 787-4586
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0053352
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0053352
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0053352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144263401
—
TX
Enumeration date
08/10/2005
Last updated
08/13/2012
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