MEDICARE: LINGERIE LINE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	530034	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013909308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINGERIE LINE LLC

Provider Business Mailing Address
First Line	:	PO BOX 18301
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-0301
Country	:	US
Telephone Number	:	210-656-4090
Fax Number	:	210-946-5471

Provider Business Practice Location Address
First Line	:	8209 ROUGHRIDER DR
Second Line	:	SUITE 102
City	:	SAN ANTONIO
State	:	TX
Zip	:	78239-2434
Country	:	US
Telephone Number	:	210-656-4090
Fax Number	:	210-946-5471

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LINDA B RAMIREZ
Credential	:
Telephone Number	:	210-656-4090

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	02/23/2023

Similar Medicare Providers

1629303474 — IN HOME PHYSICIANS MANAGEMENT OF TEXAS L.L.C
Practice Location Address:

8209 ROUGHRIDER DR , SUITE 201
SAN ANTONIO, TX
78239-2434

Practice Phone: 210-590-7984
Practice Fax:

1396568002 — TRANSCENDENT LIVING LLC
Practice Location Address:

733 N NEW BRAUNFELS AVE
SAN ANTONIO, TX
78202-2434

Practice Phone: 512-710-8999
Practice Fax:

1942159025 — BETTINA JEWEL BONSU
Practice Location Address:

733 N NEW BRAUNFELS AVE
SAN ANTONIO, TX
78202-2434

Practice Phone: 210-624-8878
Practice Fax:

1831195460 — INFINIA AT DOUGLAS
Practice Location Address:

1400 N SAN ANTONIO AVE
DOUGLAS, AZ
85607-2434

Practice Phone: 520-364-7937
Practice Fax: 520-805-9146

1366681520 — LA SOLANA CARE AND REHAB, INC
Practice Location Address:

1400 N SAN ANTONIO AVE
DOUGLAS, AZ
85607-2434

Practice Phone: 520-364-7937
Practice Fax: 520-805-9146

1326273871 — WALGREEN CO
Practice Location Address:

10858 WURZBACH RD
SAN ANTONIO, TX
78230-2434

Practice Phone: 210-424-3644
Practice Fax: 210-424-3650

Directions to “LINGERIE LINE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.