Healthcare Provider Details

I. General information

NPI: 1235481664
Provider Name (Legal Business Name): LHP TEXAS MD SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 06/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WEST CENTRAL TEXAS EXPRESSWAY SUITE 175
HARKER HEIGHTS TX
76548-1995
US

IV. Provider business mailing address

2400 DALLAS PARKWAY SUITE 450
PLANO TX
75093-4373
US

V. Phone/Fax

Practice location:
  • Phone: 254-618-1095
  • Fax: 254-618-1077
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: JOE JOHNSON
Title or Position: VICE PRESIDENT
Credential:
Phone: 972-943-1710