Organization
LIFESTYLES DISTRIBUTION CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY SONGER (OWNERPRESIDENT)
(361) 855-1212
Entity
Organization
Contact information
Practice address
5142 RICHTER ST BLDG A, CORPUS CHRISTI, TX 78415-2035
(361) 855-1212
(361) 855-7188
Mailing address
5142 RICHTER ST BLDG A, CORPUS CHRISTI, TX 78415-2035
(361) 855-1212
(361) 855-7188
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0044164
TX
332BC3200X
Customized Equipment (DME)
Primary
0044164
TX
Other
Enumeration date
04/11/2007
Last updated
09/11/2025
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