Provider Demographics
NPI:1659563914
Name:DEL-GAR L L C
Entity Type:Organization
Organization Name:DEL-GAR L L C
Other - Org Name:DIRECT MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:956-739-8312
Mailing Address - Street 1:3533 MORELAND DR STE B
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-9132
Mailing Address - Country:US
Mailing Address - Phone:956-969-0100
Mailing Address - Fax:956-969-0500
Practice Address - Street 1:3533 MORELAND DR STE B
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-9132
Practice Address - Country:US
Practice Address - Phone:956-969-0100
Practice Address - Fax:956-969-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0100703332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6036640001Medicare NSC