Organization
LUV MEDGROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER CATES (MANAGING MEMBER)
(903) 482-0044
Entity
Organization
Contact information
Practice address
162 SOUTH MAIN ST, VAN ALSTYNE, TX 75495
(903) 482-0044
(903) 482-0046
Mailing address
PO BOX 9, VAN ALSTYNE, TX 75495-0009
(903) 482-0044
(903) 482-0046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000379
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
05
—
2169542-01
—
TX
05
—
2169542-02
—
TX
05
—
2169542-03
—
TX
Enumeration date
04/01/2010
Last updated
06/20/2016
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