# SALTGRASS MEDICAL EQUIPMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053933572
- **Authorized official:** LONNIE DAVID BLACKBURN (PRESIDENT)
- **Authorized official phone:** (512) 963-6335

## Contact information

- **Practice address:** 1100 ROUND ROCK AVE STE 107A, ROUND ROCK, TX 78681-4517
- **Practice address phone:** (512) 963-6335
- **Mailing address:** 1100 ROUND ROCK AVE STE 107A, ROUND ROCK, TX 78681-4517
- **Mailing address phone:** (512) 963-6335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2020
- **Last updated:** 05/07/2020