Healthcare Provider Details

I. General information

NPI: 1093624942
Provider Name (Legal Business Name): DDTV LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 PORTLAND TRL
AUSTIN TX
78729-8040
US

IV. Provider business mailing address

7700 PORTLAND TRL
AUSTIN TX
78729-8040
US

V. Phone/Fax

Practice location:
  • Phone: 516-668-1111
  • Fax:
Mailing address:
  • Phone: 516-668-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SALMA KHOLIA
Title or Position: OWNER
Credential:
Phone: 516-668-1111