Organization
LYMPHEDEMA TECHNOLOGIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY VANZUYT (OPERATIONS MANAGER)
(281) 485-2273
Entity
Organization
Contact information
Practice address
10021 MAIN ST, B3B, HOUSTON, TX 77025
(713) 669-1111
Mailing address
10021 MAIN ST, B3B, HOUSTON, TX 77025-5224
(713) 669-1111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001278
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530329
BCBS
—
Enumeration date
11/01/2013
Last updated
07/24/2019
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