Organization
EL VALLE MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENESIS AILEEN TREVINO (OWNER / ADMINISTRATION)
(956) 849-2831
Entity
Organization
Contact information
Practice address
4851 W US HIGHWAY 83, ROMA, TX 78584
(956) 849-2831
(956) 849-2833
Mailing address
PO BOX 719, ROMA, TX 78584-0719
(956) 849-2831
(956) 849-2833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0082506
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178535401
—
TX
Enumeration date
06/28/2006
Last updated
06/06/2023
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