Organization
MEDICO PS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES LANZA (PRINCIPAL)
(682) 502-4242
Entity
Organization
Contact information
Practice address
2140 E SOUTHLAKE BLVD, SUITE L-228, SOUTHLAKE, TX 76092-6516
(682) 502-4242
Mailing address
2140 E SOUTHLAKE BLVD, SUITE L-228, SOUTHLAKE, TX 76092-6516
(682) 502-4242
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/22/2014
Last updated
10/02/2014
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