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JACKSON DURABLE MEDICAL EQUIPMENT LLC NPI 1669587515


NPI Information

NPI: 1669587515
Provider Name: JACKSON DURABLE MEDICAL EQUIPMENT LLC

Doing Business As: VALLEY MEDICAL DEPOT

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
5510 S JACKSON RD
EDINBURG, TX
ZIP 78539
Phone: (956) 682-6769
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JACKSON DURABLE MEDICAL EQUIPMENT LLC is a durable medical equipment medical supplies in Edinburg, 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. JACKSON DURABLE MEDICAL EQUIPMENT LLC NPI is 1669587515. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley Medical Depot.

The provider's business location address is:

5510 S JACKSON RD
EDINBURG, TX
ZIP 78539-902
Phone: (956) 682-6769
Fax: (956) 682-4447

The provider's authorized official is Ahmed Monif Nazif .
The authorized official title is Owner and has the following contact phone number (956) 682-6769.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 9/30/2011.


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
1332B00000XDurable Medical Equipment & Medical Supplies5232270001TEXASYes

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 Other Provider Identifier Issuer
15232270001MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2171204401MEDICAIDTEXAS

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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