Provider Demographics
NPI:1821188178
Name:FILLA ENTERPRISES, INC
Entity type:Organization
Organization Name:FILLA ENTERPRISES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:FILLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:361-384-0720
Mailing Address - Street 1:P.O. BOX 1348
Mailing Address - Street 2:
Mailing Address - City:ORANGE GROVE
Mailing Address - State:TX
Mailing Address - Zip Code:78372-1348
Mailing Address - Country:US
Mailing Address - Phone:361-384-0720
Mailing Address - Fax:361-387-2599
Practice Address - Street 1:110 S. EUGENIA
Practice Address - Street 2:
Practice Address - City:ORANGE GROVE
Practice Address - State:TX
Practice Address - Zip Code:78372
Practice Address - Country:US
Practice Address - Phone:361-387-1716
Practice Address - Fax:361-387-2599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies