Provider Demographics
NPI:1871753327
Name:VALLEY VIEW DME, LLC
Entity type:Organization
Organization Name:VALLEY VIEW DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:R
Authorized Official - Last Name:ELIZARDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-440-9605
Mailing Address - Street 1:214 S E ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-6418
Mailing Address - Country:US
Mailing Address - Phone:956-440-9605
Mailing Address - Fax:956-440-9612
Practice Address - Street 1:214 S E ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6418
Practice Address - Country:US
Practice Address - Phone:956-440-9605
Practice Address - Fax:956-440-9612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0104263332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies