Provider Demographics
NPI:1932382900
Name:LONGHORN HEALTH SOLUTIONS, INC.
Entity Type:Organization
Organization Name:LONGHORN HEALTH SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRITT
Authorized Official - Middle Name:A
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-394-1860
Mailing Address - Street 1:4836 WHIRLWIND ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-3715
Mailing Address - Country:US
Mailing Address - Phone:210-231-0673
Mailing Address - Fax:210-257-0037
Practice Address - Street 1:4836 WHIRLWIND ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-3715
Practice Address - Country:US
Practice Address - Phone:210-231-0673
Practice Address - Fax:210-257-0037
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LONGHORN HEALTH SOLUTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies