MEDICARE: STEP BY STEP DME, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency	012248	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	HH551K	OTHER	TX	BCBS
3	012248	OTHER	TX	TEXAS LICENSE NUMBER

General Provider Information

NPI Number	:	1053338822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEP BY STEP DME, LLC

Provider Business Mailing Address
First Line	:	909 BUSINESS PARK DR STE 10
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78572-6054
Country	:	US
Telephone Number	:	956-961-4288
Fax Number	:	956-961-4314

Provider Business Practice Location Address
First Line	:	909 BUSINESS PARK DR
Second Line	:	SUITE 10
City	:	MISSION
State	:	TX
Zip	:	78572-6052
Country	:	US
Telephone Number	:	956-961-4288
Fax Number	:	956-961-4314

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	STACEY P ANAYA
Credential	:	RN
Telephone Number	:	970-370-3513

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	05/02/2023

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Directions to “STEP BY STEP DME, LLC ” Practice Location

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