Provider Demographics
NPI:1023131653
Name:VEL ALA NISI MEDICAL SUPPLY
Entity type:Organization
Organization Name:VEL ALA NISI MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICITAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-831-8180
Mailing Address - Street 1:2250 N MINNESOTA AVE
Mailing Address - Street 2:STE D3
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-5258
Mailing Address - Country:US
Mailing Address - Phone:956-831-8180
Mailing Address - Fax:956-831-8108
Practice Address - Street 1:2250 N MINNESOTA AVE
Practice Address - Street 2:STE D3
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-5258
Practice Address - Country:US
Practice Address - Phone:956-831-8180
Practice Address - Fax:956-831-8108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies