MEDICARE: DMELYTIC SOLUTIONS 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	:	1447049697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DMELYTIC SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	701 TILLERY ST UNIT 123064
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-3738
Country	:	US
Telephone Number	:	484-331-3408
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 TILLERY ST UNIT 123064
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-3738
Country	:	US
Telephone Number	:	484-331-3408
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NITA GOSAIN
Credential	:
Telephone Number	:	484-331-3408

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	05/05/2025

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Directions to “DMELYTIC SOLUTIONS LLC ” Practice Location

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