MEDICARE: DL MEDICAL BILLING PROFESSIONAL/ PROFESSIONALS 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	305S00000X	Point of Service

General Provider Information

NPI Number	:	1740641687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DL MEDICAL BILLING PROFESSIONAL/ PROFESSIONALS LLC

Provider Business Mailing Address
First Line	:	5302 INGOMAR WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77053-2112
Country	:	US
Telephone Number	:	832-642-9575
Fax Number	:

Provider Business Practice Location Address
First Line	:	5302 INGOMAR WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77053-2112
Country	:	US
Telephone Number	:	832-642-9575
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. DEBBIE LYNN JAMES BUSH
Credential	:
Telephone Number	:	832-642-9575

Provider Enumeration Date	:	03/18/2016
Last Update Date	:	03/18/2016

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