Provider Demographics
NPI:1750718532
Name:ASTRUM HEALTHCARE, LLC
Entity type:Organization
Organization Name:ASTRUM HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:BOARDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-235-0065
Mailing Address - Street 1:13955 MURPHY RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4920
Mailing Address - Country:US
Mailing Address - Phone:281-235-0065
Mailing Address - Fax:832-383-7029
Practice Address - Street 1:13955 MURPHY RD
Practice Address - Street 2:SUITE 104
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4920
Practice Address - Country:US
Practice Address - Phone:281-235-0065
Practice Address - Fax:832-383-7029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-11
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment