Provider Demographics
NPI:1073670451
Name:PS HEALTHCARE, LLC
Entity Type:Organization
Organization Name:PS HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-682-7828
Mailing Address - Street 1:PO BOX 6521
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-0521
Mailing Address - Country:US
Mailing Address - Phone:972-682-7828
Mailing Address - Fax:972-682-7825
Practice Address - Street 1:15330 LBJ FWY
Practice Address - Street 2:STE 402
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-1223
Practice Address - Country:US
Practice Address - Phone:972-682-7828
Practice Address - Fax:972-682-7825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5431350001Medicare NSC