Organization Name: | DIVERSIFIED PROVIDER SERVICES INC |
NPI Number: | 1245296565 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN DAVID ROBINSON (PRESIDENT) |
Mailing Address: | 8700 Manchaca Rd Building 2, Unit 202 Austin |
State: | TX US |
Postal Code: | 787485371 |
Phone Number: | 5128512273 |
Fax Number: | 5128512274 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 07/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0081292 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |