Provider Demographics
NPI:1093796351
Name:LOWER VALLEY ELITE BUSINESSES INC
Entity Type:Organization
Organization Name:LOWER VALLEY ELITE BUSINESSES INC
Other - Org Name:BROWNSVILLE DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:ANANDAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-986-0255
Mailing Address - Street 1:PO BOX 4076
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78523-4076
Mailing Address - Country:US
Mailing Address - Phone:956-986-0255
Mailing Address - Fax:956-986-0299
Practice Address - Street 1:254 E ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-5458
Practice Address - Country:US
Practice Address - Phone:956-986-0255
Practice Address - Fax:956-986-0299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-13
Last Update Date:2019-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0056786332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX531124OtherBCBS
TX147906501Medicaid
TX147905701Medicaid