Organization
ARLETTA A ROBERTS DBA HOLIDAES MEDICAL CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETA ROBERTS (OWNER)
(832) 266-9962
Entity
Organization
Contact information
Practice address
1151 GLENDA ST, PEARLAND, TX 77581-2301
(281) 485-0409
(281) 485-0409
Mailing address
1151 GLENDA ST, PEARLAND, TX 77581-2301
(281) 485-0409
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0066672
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157111901
—
TX
01
—
157111901,02,03
CHC - DME SUPPLIER
TX
05
—
157111902
—
TX
05
—
157111903
—
TX
01
—
236953
AMERIGROUP - DME SUPPLIER
TX
01
—
531627
BCBS OF TX - DME SUPPLIER
TX
01
—
605791700
OWCP- DME SUPPLIER
TX
Enumeration date
05/27/2005
Last updated
06/15/2008
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