1285929745 NPI number — E & L HEALTH CARE SOLUTIONS INC

Table of content: (NPI 1285929745)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285929745 NPI number — E & L HEALTH CARE SOLUTIONS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
E & L HEALTH CARE SOLUTIONS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
M & M DME LLC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285929745
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4836
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARLINGEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78550-4836
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-459-1258
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5505 SOUTH EXPRESSWAY 77
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-459-1258
Provider Business Practice Location Address Fax Number:
956-550-8839
Provider Enumeration Date:
06/13/2011

Additional Information

Authorized Official

Authorized Official Last Name:
RUIZ
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
SANTOS
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
956-459-1258

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  1000602 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BP3500X , with the licence number: 1000602 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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