Provider Demographics
NPI:1932335189
Name:SLCT UNLIMITED LLC
Entity Type:Organization
Organization Name:SLCT UNLIMITED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ESMERALDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-686-7528
Mailing Address - Street 1:PO BOX 2496
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-2496
Mailing Address - Country:US
Mailing Address - Phone:956-686-7528
Mailing Address - Fax:956-971-9534
Practice Address - Street 1:4309 N 22ND ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4167
Practice Address - Country:US
Practice Address - Phone:956-686-7528
Practice Address - Fax:956-971-9534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6317350001Medicare NSC