Provider Demographics
NPI:1811548050
Name:DVT ELIMINATION LLC
Entity Type:Organization
Organization Name:DVT ELIMINATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-618-0284
Mailing Address - Street 1:10880 JOHN W ELLIOTT DR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033
Mailing Address - Country:US
Mailing Address - Phone:214-618-0284
Mailing Address - Fax:727-619-1610
Practice Address - Street 1:10880 JOHN W ELLIOTT DR
Practice Address - Street 2:SUITE 700
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033
Practice Address - Country:US
Practice Address - Phone:214-618-0284
Practice Address - Fax:727-619-1610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies