MEDICARE: US MEDDX, INC

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	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1508261033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US MEDDX, INC

Provider Business Mailing Address
First Line	:	PO BOX 893
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-0893
Country	:	US
Telephone Number	:	877-876-3339
Fax Number	:

Provider Business Practice Location Address
First Line	:	2950 NORTH LOOP W
Second Line	:	SUITE 500
City	:	HOUSTON
State	:	TX
Zip	:	77092-8843
Country	:	US
Telephone Number	:	877-876-3339
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JEFF OLIVA
Credential	:
Telephone Number	:	877-876-3339

Provider Enumeration Date	:	10/27/2014
Last Update Date	:	10/27/2014

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Directions to “US MEDDX, INC ” Practice Location

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