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NPI Code Detail

MEDICARE: DOC LLC

MEDICARE: DOC 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1366159246
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOC LLC
Provider Business Mailing Address
First Line : 5040 ADDISON CIR STE 400
Second Line :
City : ADDISON
State : TX
Zip : 75001-6049
Country : US
Telephone Number : 214-983-0303
Fax Number :
Provider Business Practice Location Address
First Line : 2218 NW 164TH
Second Line :
City : EDMOND
State : OK
Zip : 73013
Country : US
Telephone Number : 405-451-4949
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DANIELLE LEMOINE MAXWELL
Credential :
Telephone Number : 214-983-0303
Provider Enumeration Date : 11/01/2022
Last Update Date : 11/01/2022

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Directions to “DOC LLC ” Practice Location

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