MEDICARE: TRUSTED LIFE CARE INC

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	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1063670370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTED LIFE CARE INC

Provider Business Mailing Address
First Line	:	13284 POND SPRINGS RD
Second Line	:	STE 302
City	:	AUSTIN
State	:	TX
Zip	:	78729-7177
Country	:	US
Telephone Number	:	512-482-7150
Fax Number	:	512-485-7782

Provider Business Practice Location Address
First Line	:	13284 POND SPRINGS RD
Second Line	:	STE 303
City	:	AUSTIN
State	:	TX
Zip	:	78729-7177
Country	:	US
Telephone Number	:	512-485-7150
Fax Number	:	512-485-7782

Authorized Official
Title or Position	:	CEO
Name	:	TERRY L CRABTREE
Credential	:
Telephone Number	:	469-499-2857

Provider Enumeration Date	:	05/23/2008
Last Update Date	:	05/23/2008

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Directions to “TRUSTED LIFE CARE INC ” Practice Location

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