Provider Demographics
NPI:1992221121
Name:2DHQ
Entity Type:Organization
Organization Name:2DHQ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-202-5200
Mailing Address - Street 1:26850 US HIGHWAY 380 E APT 4004
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-7953
Mailing Address - Country:US
Mailing Address - Phone:504-202-5200
Mailing Address - Fax:
Practice Address - Street 1:26850 US HIGHWAY 380 E APT 4004
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-7953
Practice Address - Country:US
Practice Address - Phone:504-202-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies