Organization
LIFESTYLE DME GROUP, LLC
Active
Other names
Lifestyle Medical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMI HASSAN (MANAGER/MEMBER)
(713) 380-2110
Entity
Organization
Contact information
Practice address
2005 VALPARAISO ST, STE 115, VALPARAISO, IN 46383-3330
(713) 380-2110
(832) 834-4665
Mailing address
2005 VALPARAISO ST, STE 115, VALPARAISO, IN 46383-3330
(281) 777-4330
(832) 834-4665
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001234
TX
Other
Enumeration date
02/21/2012
Last updated
11/02/2016
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