Lifestyle Medical, Llc in San Angelo - Customized Equipment
Lifestyle Medical, Llc - NPI 1609054501
Lifestyle Medical, Llc is a Customized Equipment in San Angelo, Texas. Lifestyle Medical, Llc practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Lifestyle Medical, Llc is 1609054501. The last update date is 2010-10-27.
Lifestyle Medical, Llc's current location address is 2205 W Beauregard Ave, San Angelo, Texas. You can contact this provider via phone number 3256172181 and fax number 3256172479. The mailing address for Lifestyle Medical, Llc is 2205 W Beauregard Ave, San Angelo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifestyle Medical, Llc |
|---|---|
| Address | 2205 W Beauregard Ave, San Angelo, Texas |
| Phone Number | 3256172181 |
| Fax Number | 3256172479 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Engle L Darrel |
| Telephone Number | 3256172181 |
NPI Number Detail
| NPI Number | 1609054501 |
|---|---|
| Provider Enumeration Date | 2008-02-04 |
| Last Updated Date | 2010-10-27 |
Provider Mailing Address Detail
| Address | 2205 W Beauregard Ave |
|---|---|
| City | San Angelo |
| State | Texas (TX) |
| Post Code | 769013701 |
| Phone Number | 3256172181 |
| Fax Number | 3256172479 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 532817 | TX | BC/BS | |
| 1954927 | TX | -- |
Post Comment/ Review Below
What is the Lifestyle Medical, Llc's unique identification number?
The Lifestyle Medical, Llc has been assigned the NPI (National Provider Identifier) Number 1609054501 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Lifestyle Medical, Llc located?
The Lifestyle Medical, Llc is located at 2205 W Beauregard Ave, San Angelo, TX 769013701.
What is Lifestyle Medical, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lifestyle Medical, Llc's specialized field of practice is Customized Equipment, and the corresponding taxonomy code that categorizes this area of specialization is 332Bc3200X.
When was the Lifestyle Medical, Llc's 1609054501 issued?
The Lifestyle Medical, Llc's 1609054501 was issued on 2008-02-04.
As of what date was the information pertaining to Lifestyle Medical, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lifestyle Medical, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-10-27.