Organization
SALTGRASS MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE DAVID BLACKBURN (PRESIDENT)
(512) 963-6335
Entity
Organization
Contact information
Practice address
1100 ROUND ROCK AVE STE 107A, ROUND ROCK, TX 78681-4517
(512) 963-6335
Mailing address
1100 ROUND ROCK AVE STE 107A, ROUND ROCK, TX 78681-4517
(512) 963-6335
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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