Healthcare Provider Details

I. General information

NPI: 1861847923
Provider Name (Legal Business Name): LEE HEALTHCARE MEDICAL SUPPLY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2016
Last Update Date: 04/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 E ELM ST
HILLSBORO TX
76645-3320
US

IV. Provider business mailing address

PO BOX 628
HAMILTON TX
76531-0628
US

V. Phone/Fax

Practice location:
  • Phone: 254-582-2702
  • Fax:
Mailing address:
  • Phone:
  • 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: PAMELA PARSONS
Title or Position: CFO
Credential:
Phone: 254-386-3006