Healthcare Provider Details

I. General information

NPI: 1740106046
Provider Name (Legal Business Name): NORTHBRIDGE DME SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 MIKE DR
COPPERAS COVE TX
76522-7773
US

IV. Provider business mailing address

2103 MIKE DR
COPPERAS COVE TX
76522-7773
US

V. Phone/Fax

Practice location:
  • Phone: 737-320-5710
  • Fax:
Mailing address:
  • Phone: 737-320-5710
  • 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: MARYA ZUBAIR
Title or Position: MANAGER
Credential:
Phone: 737-320-5710