Provider Demographics
NPI:1669718490
Name:MED-TECH OFFICE MANAGEMENT, LLC
Entity type:Organization
Organization Name:MED-TECH OFFICE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS-LABOME
Authorized Official - Suffix:
Authorized Official - Credentials:CODER
Authorized Official - Phone:830-398-2707
Mailing Address - Street 1:P.O. BOX 1404
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459
Mailing Address - Country:US
Mailing Address - Phone:832-398-2707
Mailing Address - Fax:832-770-4396
Practice Address - Street 1:15402 BLUERIDGE CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2606
Practice Address - Country:US
Practice Address - Phone:832-893-8622
Practice Address - Fax:832-617-8755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-26
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty