MEDICARE: LAWRENCE S. WEPRIN

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	E0184	TX

General Provider Information

NPI Number	:	1558530519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWRENCE S. WEPRIN

Provider Business Mailing Address
First Line	:	7150 N GEORGE BUSH HWY STE 202
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2210
Country	:	US
Telephone Number	:	972-414-0408
Fax Number	:	972-495-9084

Provider Business Practice Location Address
First Line	:	7150 N GEORGE BUSH HWY STE 202
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2210
Country	:	US
Telephone Number	:	972-414-0408
Fax Number	:	972-495-9084

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	LAWRENCE SCOTT WEPRIN
Credential	:	M.D.
Telephone Number	:	972-414-0408

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	02/25/2008

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