Provider Demographics
NPI:1336280288
Name:CALALLEN DME INC
Entity Type:Organization
Organization Name:CALALLEN DME INC
Other - Org Name:CALALLEN MEDICAL AND SAFETY SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:361-242-2333
Mailing Address - Street 1:13310 LEOPARD ST
Mailing Address - Street 2:STE. 9
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-4492
Mailing Address - Country:US
Mailing Address - Phone:361-242-2333
Mailing Address - Fax:361-242-2056
Practice Address - Street 1:13310 LEOPARD ST
Practice Address - Street 2:SUITE 9
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-4492
Practice Address - Country:US
Practice Address - Phone:361-242-2333
Practice Address - Fax:361-242-2056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00904207332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6333930001Medicare NSC