MEDICARE: DOC 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1316592454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOC LLC

Provider Business Mailing Address
First Line	:	5040 ADDISON CIR STE 400
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-6049
Country	:	US
Telephone Number	:	214-983-0303
Fax Number	:

Provider Business Practice Location Address
First Line	:	3209 N FLOOD AVE
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73069-8241
Country	:	US
Telephone Number	:	405-445-0155
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DANIELLE LEMOINE MAXWELL
Credential	:
Telephone Number	:	214-983-0303

Provider Enumeration Date	:	08/06/2019
Last Update Date	:	08/04/2022

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Directions to “DOC LLC ” Practice Location

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