Organization
ADAPTED VEHICLE AIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HAUSBECK (OWNER)
(956) 494-9036
Entity
Organization
Contact information
Practice address
6500 N 35TH ST, MCALLEN, TX 78504-5813
(956) 494-9036
(956) 322-4090
Mailing address
6500 N 35TH ST, MCALLEN, TX 78504-5813
(956) 494-9036
(956) 322-4090
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332BC3200X
—
TX
Enumeration date
10/14/2015
Last updated
10/14/2015
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