MEDICARE: HLS HOME MEDICAL EQUIPMENT LP

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	335E00000X	Prosthetic/Orthotic Supplier
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	0076218	TX
3	332BX2000X	Oxygen Equipment & Supplies (DME)	0076218	TX
4	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	531672	OTHER	TX	BLUE CROSS BLUE SHILED
3	82664	OTHER	TX	NORTHWOOD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	134722100	OTHER	TX	VALLEY BAPTIST HEALTH

General Provider Information

NPI Number	:	1063498442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HLS HOME MEDICAL EQUIPMENT LP

Provider Business Mailing Address
First Line	:	3207 W ALBERTA RD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-9635
Country	:	US
Telephone Number	:	956-992-8855
Fax Number	:	956-992-8865

Provider Business Practice Location Address
First Line	:	3207 W ALBERTA RD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-9635
Country	:	US
Telephone Number	:	956-992-8855
Fax Number	:	956-992-8865

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RICK W. STRADTNER
Credential	:	R.PH
Telephone Number	:	812-759-6155

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	06/26/2009

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Directions to “HLS HOME MEDICAL EQUIPMENT LP ” Practice Location

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