Provider Demographics
NPI:1437897444
Name:WM SUPPLY
Entity Type:Organization
Organization Name:WM SUPPLY
Other - Org Name:ALL VALLEY MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:MASSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-605-7891
Mailing Address - Street 1:105 CARDINAL AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2218
Mailing Address - Country:US
Mailing Address - Phone:956-605-7891
Mailing Address - Fax:
Practice Address - Street 1:105 CARDINAL AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2218
Practice Address - Country:US
Practice Address - Phone:956-605-7891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)