Organization Name: | LOUBERTHA MEDICAL SUPPLY, INC. |
NPI Number: | 1245506021 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUBERTHA NALLS (PRESIDENT) |
Mailing Address: | 5902 Shinning Leaf Cir Katy |
State: | TX US |
Postal Code: | 774492024 |
Phone Number: | 8326654270 |
Fax Number: | 7137580228 |
NPI Enumeration Date: | 03/27/2012 |
NPI Last Update Date: | 06/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
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 |