Provider Demographics
NPI:1588915284
Name:F & D GROUP LLC
Entity type:Organization
Organization Name:F & D GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELSA
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-687-4300
Mailing Address - Street 1:205 E INTERSTATE 2 STE 101
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-6547
Mailing Address - Country:US
Mailing Address - Phone:956-687-4300
Mailing Address - Fax:956-687-4301
Practice Address - Street 1:205 E INTERSTATE 2 STE 101
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6547
Practice Address - Country:US
Practice Address - Phone:956-687-4300
Practice Address - Fax:956-687-4301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000957332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX323286002Medicaid
TX323286001Medicaid
TX6746110001Medicare NSC