HACIENDA DME LLC NPI 1093744161

NPI Information

NPI: 1093744161
Provider Name: HACIENDA DME LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2408 BUDDY OWENS AVE
MCALLEN, TX
ZIP 78504
Phone: (956) 688-8212
Get Directions

HACIENDA DME LLC is a durable medical equipment medical supplies in Mcallen, TX. The provider is 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. HACIENDA DME LLC NPI is 1093744161. The provider is registered as an organization entity type.

The provider's business location address is:

2408 BUDDY OWENS AVE
MCALLEN, TX
ZIP 78504-463
Phone: (956) 688-8212
Fax: (956) 467-5589

The provider's authorized official is Gregorio Garza Garcia .
The authorized official title is President and has the following contact phone number (956) 688-8212.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 3/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	0083512	TEXAS	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		0083512	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	5559280001	MEDICARE NSC	TEXAS
2	178212002	MEDICAID	TEXAS
3	178212001	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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