MEDICARE: LTS DME

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1659951515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LTS DME

Provider Business Mailing Address
First Line	:	2626 S LOOP W STE 242
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2691
Country	:	US
Telephone Number	:	713-393-7144
Fax Number	:	713-393-7147

Provider Business Practice Location Address
First Line	:	2626 S LOOP W STE 242
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2691
Country	:	US
Telephone Number	:	713-393-7144
Fax Number	:	713-393-7147

Authorized Official
Title or Position	:	BILLER
Name	:	MRS. DIONEYSISA I KENDLIN
Credential	:
Telephone Number	:	713-497-5335

Provider Enumeration Date	:	04/13/2021
Last Update Date	:	04/13/2021

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Directions to “LTS DME ” Practice Location

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