MEDICARE: MEDICAL TECHNOLOGIES, 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	332BX2000X	Oxygen Equipment & Supplies (DME)

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

General Provider Information

NPI Number	:	1740472273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL TECHNOLOGIES, INC.

Provider Business Mailing Address
First Line	:	401 W COLLEGE ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-1527
Country	:	US
Telephone Number	:	337-491-1100
Fax Number	:	337-491-1122

Provider Business Practice Location Address
First Line	:	600 CENTURY PLAZA DR
Second Line	:	SUITE C-150
City	:	HOUSTON
State	:	TX
Zip	:	77073-6128
Country	:	US
Telephone Number	:	281-893-5573
Fax Number	:	281-893-5582

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOHN DAVID MONLEZUN SR.
Credential	:
Telephone Number	:	337-491-1100

Provider Enumeration Date	:	08/17/2007
Last Update Date	:	11/04/2010

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Directions to “MEDICAL TECHNOLOGIES, INC. ” Practice Location

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