Victor Gomez Vanval Enterprise in El Paso - Parenteral & Enteral Nutrition
Victor Gomez Vanval Enterprise - NPI 1174529945
Victor Gomez Vanval Enterprise is a Parenteral & Enteral Nutrition in El Paso, Texas. Victor Gomez Vanval Enterprise practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Victor Gomez Vanval Enterprise is 1174529945. The last update date is 2012-10-25.
Victor Gomez Vanval Enterprise's current location address is 11601 Pellicano Dr, El Paso, Texas. You can contact this provider via phone number 9155933556 and fax number 9155956556. The mailing address for Victor Gomez Vanval Enterprise is 11601 Pellicano Dr, El Paso, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Victor Gomez Vanval Enterprise |
|---|---|
| Address | 11601 Pellicano Dr, El Paso, Texas |
| Phone Number | 9155933556 |
| Fax Number | 9155956556 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gomez Victor |
| Credentials | R.T. |
| Telephone Number | 9155933556 |
NPI Number Detail
| NPI Number | 1174529945 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2012-10-25 |
Provider Mailing Address Detail
| Address | 11601 Pellicano Dr |
|---|---|
| City | El Paso |
| State | Texas (TX) |
| Post Code | 799366279 |
| Phone Number | 9155933556 |
| Fax Number | 9155956556 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
| Licence No | 55163 |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 144538901 | TX | -- | |
| 144537101 | TX | -- | |
| 531034 | TX | BLUE CROSS BLUE SHIELD TX | |
| QMP000003931980 | TX | MOLINA HEALTHCARE PLAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Victor Gomez Vanval Enterprise by the Centers for Medicare & Medicaid Services?
The Victor Gomez Vanval Enterprise has been issued the NPI (National Provider Identifier) 1174529945, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Victor Gomez Vanval Enterprise's physical address?
The Victor Gomez Vanval Enterprise is physically located at 11601 Pellicano Dr, in the city of El Paso, TX, with the postal code 799366279.
What is the Victor Gomez Vanval Enterprise's specialty and taxonomy code?
The Victor Gomez Vanval Enterprise's specialty is Parenteral & Enteral Nutrition, and the corresponding taxonomy code is 332Bp3500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174529945 to Victor Gomez Vanval Enterprise?
The Centers for Medicare & Medicaid Services assigned the 1174529945 to Victor Gomez Vanval Enterprise on 2005-06-24.
As of what date were the Victor Gomez Vanval Enterprise's details last updated?
The information pertaining to the Victor Gomez Vanval Enterprise, including its address, specialty, and other details, was most recently updated on 2012-10-25.