Provider Demographics
NPI:1659951515
Name:LTS DME
Entity Type:Organization
Organization Name:LTS DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIONEYSISA
Authorized Official - Middle Name:I
Authorized Official - Last Name:KENDLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-497-5335
Mailing Address - Street 1:2626 S LOOP W STE 242
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2691
Mailing Address - Country:US
Mailing Address - Phone:713-393-7144
Mailing Address - Fax:713-393-7147
Practice Address - Street 1:2626 S LOOP W STE 242
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2691
Practice Address - Country:US
Practice Address - Phone:713-393-7144
Practice Address - Fax:713-393-7147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment