Organization
GROVE LANE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LANE ESTES (CONTROLLER)
(281) 777-8621
Entity
Organization
Contact information
Practice address
9107 BRECKENRIDGE DR, MAGNOLIA, TX 77354-5742
(281) 777-8621
(888) 757-8009
Mailing address
9107 BRECKENRIDGE DR, MAGNOLIA, TX 77354-5742
(281) 777-8621
(888) 757-8009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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