Provider Demographics
NPI:1134840259
Name:IFL SERVICES LLC
Entity type:Organization
Organization Name:IFL SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-417-4378
Mailing Address - Street 1:1109 W NOLANA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3794
Mailing Address - Country:US
Mailing Address - Phone:956-887-8346
Mailing Address - Fax:844-224-6329
Practice Address - Street 1:1109 W NOLANA AVE STE 101
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3794
Practice Address - Country:US
Practice Address - Phone:956-688-8023
Practice Address - Fax:844-224-6329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty