=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326847526
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BANG INVESTMENTS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2025
-----------------------------------------------------
Last Update Date | 03/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 850 CYPRESS CREEK PKWY STE S
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77090-3413
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-914-2373
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1926 FORELAND DR
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77077-5544
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-914-2373
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. BRANDON MICHAEL LEACH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 504-914-2373
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------