Provider Demographics
NPI:1235481664
Name:LHP TEXAS MD SERVICES INC
Entity Type:Organization
Organization Name:LHP TEXAS MD SERVICES INC
Other - Org Name:WELLSTONE ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-943-1710
Mailing Address - Street 1:2400 DALLAS PARKWAY
Mailing Address - Street 2:SUITE 450
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4373
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 WEST CENTRAL TEXAS EXPRESSWAY
Practice Address - Street 2:SUITE 175
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1995
Practice Address - Country:US
Practice Address - Phone:254-618-1095
Practice Address - Fax:254-618-1077
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LHP TEXAS MD SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-09
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB152108Medicare PIN
TX6717640001Medicare NSC