Provider Demographics
NPI:1770758906
Name:ALC FAST SERVICES INC
Entity type:Organization
Organization Name:ALC FAST SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDYS
Authorized Official - Middle Name:L
Authorized Official - Last Name:CONDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-483-6309
Mailing Address - Street 1:4307 N 10TH ST
Mailing Address - Street 2:SUITE G7
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3056
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4307 N 10TH ST
Practice Address - Street 2:SUITE G7
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3056
Practice Address - Country:US
Practice Address - Phone:956-483-6309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies