Organization
PROFESSIONAL DME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALYAN RAJ BOLLA (AUTHORIZED OFFICIAL)
(630) 473-4770
Entity
Organization
Contact information
Practice address
26310 OAK RIDGE DR STE 28, SPRING, TX 77380-3777
(630) 473-4770
Mailing address
26310 OAK RIDGE DR STE 28, SPRING, TX 77380-3777
(346) 606-0327
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
12/03/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up