Provider Demographics
NPI:1407365612
Name:LAS COLINAS DME, PLLC
Entity Type:Organization
Organization Name:LAS COLINAS DME, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HULEN
Authorized Official - Last Name:COLLUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-461-4853
Mailing Address - Street 1:1825 W WALNUT HILL LN STE 120
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-4453
Mailing Address - Country:US
Mailing Address - Phone:214-461-4853
Mailing Address - Fax:972-505-4886
Practice Address - Street 1:1825 W WALNUT HILL LN STE 120
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-4453
Practice Address - Country:US
Practice Address - Phone:214-461-4853
Practice Address - Fax:972-505-4886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies