Provider Demographics
NPI:1649438326
Name:VANNESS MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:VANNESS MEDICAL EQUIPMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-400-2818
Mailing Address - Street 1:1000 WESTWAY AVE STE B
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4050
Mailing Address - Country:US
Mailing Address - Phone:956-400-2818
Mailing Address - Fax:956-686-6049
Practice Address - Street 1:1000 WESTWAY AVE STE B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4050
Practice Address - Country:US
Practice Address - Phone:956-400-2818
Practice Address - Fax:956-686-6049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies