Provider Demographics
NPI:1649507393
Name:ANGELITOS DME LLC.
Entity type:Organization
Organization Name:ANGELITOS DME LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-624-6965
Mailing Address - Street 1:704 E GRIFFIN PKWY
Mailing Address - Street 2:STE 130
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-2972
Mailing Address - Country:US
Mailing Address - Phone:956-424-9333
Mailing Address - Fax:956-519-7520
Practice Address - Street 1:704 E GRIFFIN PKWY
Practice Address - Street 2:STE 130
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-2972
Practice Address - Country:US
Practice Address - Phone:956-424-9333
Practice Address - Fax:956-519-7520
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGELITOS DME LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-17
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6381930001Medicare NSC