Provider Demographics
NPI:1245298413
Name:ACCENT DIABETIC HEALTH PRODUCTS, LLC.
Entity type:Organization
Organization Name:ACCENT DIABETIC HEALTH PRODUCTS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:H
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-618-1420
Mailing Address - Street 1:6701 N 25TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4255
Mailing Address - Country:US
Mailing Address - Phone:956-618-1420
Mailing Address - Fax:956-618-1420
Practice Address - Street 1:1401 E RIDGE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1525
Practice Address - Country:US
Practice Address - Phone:956-618-1420
Practice Address - Fax:956-618-1420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0863238332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE96637Medicare UPIN
TX0079BYMedicare ID - Type UnspecifiedMEDICARE GROUP ID NUMBER
TX89490FMedicare ID - Type UnspecifiedMEDICARE INDIVIDUAL ID