# LONE STAR HANDICAP VANS, LLC

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

## Provider details

- **NPI number:** 1457595068
- **Authorized official:** MRS. NORMA NIEDERHOFER (VICE-PRESIDENT)
- **Authorized official phone:** (903) 592-8366

## Contact information

- **Practice address:** 12953 HWY 64 W, TYLER, TX 75704-8029
- **Practice address phone:** (903) 592-8366
- **Practice address fax:** (903) 592-8369
- **Mailing address:** 12953 HWY 64 W, TYLER, TX 75704-8029
- **Mailing address phone:** (903) 592-8366
- **Mailing address fax:** (903) 592-8369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347C00000X | Private Vehicle | 32033974448 | TX | Yes |

## Other

- **Enumeration date:** 04/27/2009
- **Last updated:** 04/27/2009