Healthcare Provider Details

I. General information

NPI: 1477061554
Provider Name (Legal Business Name): PATIENT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2018
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2907 EL INDIO HWY STE 108
EAGLE PASS TX
78852-6727
US

IV. Provider business mailing address

1800 NE LOOP 410 STE 206
SAN ANTONIO TX
78217-5210
US

V. Phone/Fax

Practice location:
  • Phone: 830-776-5275
  • Fax: 830-776-5279
Mailing address:
  • Phone: 210-824-1112
  • Fax: 210-824-1113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: AARON CHARLES LUCKEY
Title or Position: OWNER
Credential:
Phone: 210-824-1112