Provider Demographics
NPI:1558373381
Name:TMS SANDOVAL INVESTMENTS LLC
Entity type:Organization
Organization Name:TMS SANDOVAL INVESTMENTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-412-8100
Mailing Address - Street 1:1405 N 77 SUNSHINESTRIP
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-4324
Mailing Address - Country:US
Mailing Address - Phone:956-412-8100
Mailing Address - Fax:956-412-8101
Practice Address - Street 1:1405 N 77 SUNSHINESTRIP
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-4324
Practice Address - Country:US
Practice Address - Phone:956-412-8100
Practice Address - Fax:956-412-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191742902Medicaid
TX1917429-01Medicaid
TX7427840001Medicare PIN
TX1917429-01Medicaid