=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770581548
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LS & B INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/14/2005
-----------------------------------------------------
Last Update Date | 10/28/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 680 PAREDES LINE RD STE D
-----------------------------------------------------
City | BROWNSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78521-3383
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-428-0688
-----------------------------------------------------
Fax | 956-428-0062
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 707 W SESAME DR STE. B
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78550-9289
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-428-2277
-----------------------------------------------------
Fax | 956-428-0062
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. JOSE G VARGAS
-----------------------------------------------------
Credential | CDME
-----------------------------------------------------
Telephone | 956-529-1150
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 485087001
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------