Provider Demographics
NPI:1558373381
Name:TMS SANDOVAL INVESTMENTS LLC
Entity Type:Organization
Organization Name:TMS SANDOVAL INVESTMENTS LLC
Other - Org Name:TEXAS MED SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-412-8100
Mailing Address - Street 1:211 W JEFFERSON AVE
Mailing Address - Street 2:STE 5
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-5430
Mailing Address - Country:US
Mailing Address - Phone:956-412-8100
Mailing Address - Fax:956-412-8101
Practice Address - Street 1:211 W JEFFERSON AVE
Practice Address - Street 2:STE 5
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5430
Practice Address - Country:US
Practice Address - Phone:956-412-8100
Practice Address - Fax:956-412-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191742902Medicaid
TX1917429-01Medicaid
TX7427840001Medicare PIN
TX1917429-01Medicaid