Healthcare Provider Details

I. General information

NPI: 1811465529
Provider Name (Legal Business Name): PATIENT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2018
Last Update Date: 02/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 CALLE DEL NORTE STE 6
LAREDO TX
78041-5943
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 956-568-1579
  • Fax: 956-568-1578
Mailing address:
  • Phone: 210-824-1112
  • Fax:

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