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Victor Gomez Vanval Enterprise
Oxygen Equipment & Supplies (DME) in El Paso, Texas
NPI 1174529945

Victor Gomez Vanval Enterprise is a Oxygen Equipment & Supplies (DME) based in El Paso, TX and is specialized in Oxygen Equipment & Supplies. Victor Gomez Vanval Enterprise practices in El Paso, TX. The NPI Number for Victor Gomez Vanval Enterprise is 1174529945 and holds a License No. 0055163 (Texas).

The current practice location address for Victor Gomez Vanval Enterprise is 11601 Pellicano Dr, El Paso, TX and can be reached out via phone at 915-593-3556 and via fax at 915-595-6556.

Location: 11601 Pellicano Dr, El Paso, TX, 79936-6279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174529945
Provider Name
Victor Gomez Vanval Enterprise
Credential
Provider Entity Type
Organization
Address
11601 Pellicano Dr, El Paso, TX, 79936-6279
Phone Number
915-593-3556
Fax Number
915-595-6556
Provider Enumeration Date
06/24/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
144538901 05 TX
144537101 05 TX
531034 01 TX BLUE CROSS BLUE SHIELD TX
QMP000003931980 01 TX MOLINA HEALTHCARE PLAN
institution
Provider Business Practice Location Address Details
Address
11601 Pellicano Dr
City
El Paso
State
Texas
Zip
79936-6279
Phone Number
915-593-3556
Fax Number
915-595-6556
person
Provider Business Mailing Address Details
Address
11601 Pellicano Dr
City
El Paso
State
Texas
Zip
79936-6279
Phone Number
915-593-3556
Fax Number
915-595-6556
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
0055163 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
0055163 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
0055163 (Texas)
Definition
Definition to come...
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