Provider Demographics
NPI:1740641687
Name:DL MEDICAL BILLING PROFESSIONAL/ PROFESSIONALS LLC
Entity type:Organization
Organization Name:DL MEDICAL BILLING PROFESSIONAL/ PROFESSIONALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:JAMES BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-642-9575
Mailing Address - Street 1:5302 INGOMAR WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-2112
Mailing Address - Country:US
Mailing Address - Phone:832-642-9575
Mailing Address - Fax:
Practice Address - Street 1:5302 INGOMAR WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-2112
Practice Address - Country:US
Practice Address - Phone:832-642-9575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherMEDICAL BILLING