Provider Demographics
NPI:1790892248
Name:A PINEYWOODS HOME MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:A PINEYWOODS HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NARANJO
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:936-634-1617
Mailing Address - Street 1:1150 US 59 LOOP NORTH
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351
Mailing Address - Country:US
Mailing Address - Phone:936-327-6484
Mailing Address - Fax:936-327-7561
Practice Address - Street 1:1150 US 59 LOOP NORTH
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351
Practice Address - Country:US
Practice Address - Phone:936-327-6484
Practice Address - Fax:936-327-7561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0079711332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1014160001Medicare ID - Type Unspecified