Organization
1866ICPAYDAY.COM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE T TYLER (MEMBER)
(832) 884-0498
Entity
Organization
Contact information
Practice address
1801 S DAIRY ASHFORD ST STE 104, HOUSTON, TX 77077-4765
(832) 884-0498
Mailing address
1801 S DAIRY ASHFORD ST STE 104, HOUSTON, TX 77077-4765
(832) 884-0498
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0091229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1834509
—
TX
Enumeration date
08/30/2006
Last updated
12/10/2008
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