Organization
LIFE MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE B DORCEY (PRESIDENT)
(205) 566-1674
Entity
Organization
Contact information
Practice address
224 N MCCOLL RD STE A, MCALLEN, TX 78501-9310
(956) 994-3600
(956) 994-3612
Mailing address
PO BOX 550309, BIRMINGHAM, AL 35255-0309
(205) 566-1674
(205) 278-6900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0079549A
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172219102
—
TX
Enumeration date
07/01/2005
Last updated
03/09/2022
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