Organization Active NPI

Diamond Wings, LLC

  • Parenteral & Enteral Nutrition Supplies (DME)
  • McAllen, TX
National Provider Identifier
1417957911
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
0065562 Issued in TX
Legal business name
DIAMOND WINGS, LLC
Practice address
5517 N Ware Rd Ste 200
McAllen, TX 78504-5155
Phone
(956) 664-1900
Fax
(956) 630-0606
NPI assigned
Jul 26, 2005
Last updated
Mar 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alma Gloria Luna
Title
Vice President
Phone
(956) 664-1900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0065562 TX
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0065562 TX Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 0065562 TX

Addresses

Primary practice location

5517 N Ware Rd Ste 200
McAllen, TX 78504-5155

Mailing address

5517 N Ware Rd Ste 200
McAllen, TX 78504-5155
Phone (956) 664-1900

Other identifiers 1

IdentifierTypeStateIssuer
156716601MedicaidTX

National Provider Directory

National Provider Directory

Locations

5509 N Ware Rd
Ste C
McAllen, TX 78504
Phone (956) 664-1900

5517 N Ware Rd
McAllen, TX 78504
Phone (956) 664-1900

5517 N Ware Rd
Ste 200
McAllen, TX 78504
Phone (956) 664-1900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1417957911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 N WARE RD STE 200",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045155",
            "telephone_number": "956-664-1900",
            "fax_number": "956-630-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 N WARE RD STE 200",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045155",
            "telephone_number": "956-664-1900",
            "fax_number": "956-630-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND WINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "GLORIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "956-664-1900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0065562",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0065562",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0065562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156716601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.