Provider Demographics
NPI:1740472273
Name:MEDICAL TECHNOLOGIES, INC.
Entity type:Organization
Organization Name:MEDICAL TECHNOLOGIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MONLEZUN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:337-491-1100
Mailing Address - Street 1:401 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-1527
Mailing Address - Country:US
Mailing Address - Phone:337-491-1100
Mailing Address - Fax:337-491-1122
Practice Address - Street 1:600 CENTURY PLAZA DR
Practice Address - Street 2:SUITE C-150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-6128
Practice Address - Country:US
Practice Address - Phone:281-893-5573
Practice Address - Fax:281-893-5582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1904534Medicaid
TX1904534Medicaid