Healthcare Provider Details

I. General information

NPI: 1891624813
Provider Name (Legal Business Name): BUR OAK MED DEV LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR # 8980
AUSTIN TX
78731-4257
US

IV. Provider business mailing address

5900 BALCONES DR # 8980
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 929-494-1034
  • Fax:
Mailing address:
  • Phone: 929-494-1034
  • 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: SHAN LALANI
Title or Position: OWNER
Credential:
Phone: 929-494-1034