Organization
FALCON MEDICAL SOLUTIONS LLC
Active
Other names
Falcon Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY UDOMBAT (MANAGING OWNER)
(956) 571-8309
Entity
Organization
Contact information
Practice address
3012 E MAIN AVE STE A, ALTON, TX 78573-0908
(956) 584-9900
(956) 584-9902
Mailing address
3012 E MAIN AVE STE A, ALTON, TX 78573-0908
(956) 584-9900
(956) 584-9902
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
26197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145969
—
TX
01
—
4550718
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/09/2008
Last updated
05/23/2012
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