Provider Demographics
NPI:1376180174
Name:UNITED MEDICAL EQUIPMENT BUSINESS SOLUTIONS NETWORK, INC.
Entity Type:Organization
Organization Name:UNITED MEDICAL EQUIPMENT BUSINESS SOLUTIONS NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-938-3513
Mailing Address - Street 1:9500 RAY WHITE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-9105
Mailing Address - Country:US
Mailing Address - Phone:866-926-9786
Mailing Address - Fax:
Practice Address - Street 1:9500 RAY WHITE RD STE 200
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-9105
Practice Address - Country:US
Practice Address - Phone:866-926-9786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-30
Last Update Date:2019-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies