Medico Ps, LLC

NPI #1457771065 in Southlake, Texas

Provider Information

NPI Number: 1457771065
Entity Type: Organization
Organization Name: Medico Ps, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Apr 22, 2014
Last Updated: Oct 2, 2014

Practice Location

Address: 2140 E SOUTHLAKE BLVD
Address 2: SUITE L-228
City: Southlake
State: Texas
ZIP Code: 76092-6516
Phone: (682) 502-4242

Authorized Official

Name: MR. CHARLES LANZA
Title: PRINCIPAL
Phone: (682) 502-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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