Provider Demographics
NPI:1184673980
Name:LAR-TEX MEDICAL EQUIPMENT CORP.
Entity Type:Organization
Organization Name:LAR-TEX MEDICAL EQUIPMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-824-8044
Mailing Address - Street 1:4728 GOLDFIELD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-4669
Mailing Address - Country:US
Mailing Address - Phone:210-824-8044
Mailing Address - Fax:210-824-8330
Practice Address - Street 1:4728 GOLDFIELD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-4626
Practice Address - Country:US
Practice Address - Phone:210-824-8044
Practice Address - Fax:210-824-8330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0028653332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0946780002Medicare ID - Type Unspecified