Provider Demographics
NPI:1710271598
Name:ADEPT MEDICAL, LLC
Entity Type:Organization
Organization Name:ADEPT MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLUITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-442-2727
Mailing Address - Street 1:11717 WOODLAND HILLS TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2203
Mailing Address - Country:US
Mailing Address - Phone:512-442-2727
Mailing Address - Fax:512-442-2728
Practice Address - Street 1:4701 WESTGATE BLVD
Practice Address - Street 2:SUITE D 401
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1479
Practice Address - Country:US
Practice Address - Phone:512-442-2727
Practice Address - Fax:512-442-2728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX08815332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies