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General NPI Number Information
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NPI Number | 1386211621
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Entity Type | Organization
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Legal Business Name | WOLFTECH MEDICAL LLC
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 6201 BONHOMME RD STE 370N
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City | HOUSTON
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State | TX
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Zip | 77036-4427
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Country | US
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Telephone | 754-212-2187
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 BONHOMME RD STE 370N
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City | HOUSTON
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State | TX
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Zip | 77036-4427
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Country | US
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Telephone | 754-212-2187
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISETTE MARIA MONTOYA
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Credential |
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Telephone | 754-212-2187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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