Healthcare Provider Details

I. General information

NPI: 1063498442
Provider Name (Legal Business Name): HLS HOME MEDICAL EQUIPMENT LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 06/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3207 W ALBERTA RD
EDINBURG TX
78539-9635
US

IV. Provider business mailing address

3207 W ALBERTA RD
EDINBURG TX
78539-9635
US

V. Phone/Fax

Practice location:
  • Phone: 956-992-8855
  • Fax: 956-992-8865
Mailing address:
  • Phone: 956-992-8855
  • Fax: 956-992-8865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number0076218
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0076218
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. RICK W. STRADTNER
Title or Position: PRESIDENT
Credential: R.PH
Phone: 812-759-6155