Organization
LONE STAR HANDICAP VANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORMA NIEDERHOFER (VICE-PRESIDENT)
(903) 592-8366
Entity
Organization
Contact information
Practice address
12953 HWY 64 W, TYLER, TX 75704-8029
(903) 592-8366
(903) 592-8369
Mailing address
12953 HWY 64 W, TYLER, TX 75704-8029
(903) 592-8366
(903) 592-8369
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
32033974448
TX
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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