Healthcare Provider Details

I. General information

NPI: 1063670370
Provider Name (Legal Business Name): TRUSTED LIFE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13284 POND SPRINGS RD STE 303
AUSTIN TX
78729-7177
US

IV. Provider business mailing address

13284 POND SPRINGS RD STE 302
AUSTIN TX
78729-7177
US

V. Phone/Fax

Practice location:
  • Phone: 512-485-7150
  • Fax: 512-485-7782
Mailing address:
  • Phone: 512-482-7150
  • Fax: 512-485-7782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: TERRY L CRABTREE
Title or Position: CEO
Credential:
Phone: 469-499-2857