MEDICO PS, LLC (NPI# 1457771065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457771065 |
| Entity Type | Organization |
| Organization Name | MEDICO PS, LLC |
| Practice Address |
2140 E Southlake Blvd Suite L-228 Southlake TX 76092-6516 |
| Practice Telephone | 6825024242 |
| Mailing Telephone | 6825024242 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-10-02 |
| Authorized Official Name | MR. CHARLES LANZA (PRINCIPAL) |
| Authorized Official Telephone | 6825024242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
2140 E SOUTHLAKE BLVD SUITE L-228 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518995752 | Donald Dunlap Jr. | Family Medicine | 2140 E Southlake Blvd, Southlake, TX 76092-6516 | 2006-06-28 |
| 1821451410 | Gina Aalund, Lcsw, Pllc | Social Worker | 2140 E Southlake Blvd, Suite L-658, Southlake, TX 76092-6516 | 2016-03-31 |
| 1902296379 | The Well House Group, Pllc | Counselor | 2140 E Southlake Blvd, Suite L, 687, Southlake, TX 76092-6516 | 2015-01-23 |
| 1710394663 | Jennifer Kruse | Counselor | 2140 E Southlake Blvd, Suite L, 687, Southlake, TX 76092-6516 | 2014-07-11 |
| 1427346535 | Lucare Pllc | Anesthesiology | 2140 E Southlake Blvd, Suite L-434, Southlake, TX 76092-6516 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369458 | Seek Health LLC | Durable Medical Equipment & Medical Supplies | 211 E Southlake Blvd Ste 106, Southlake, TX 76092-6274 | 2020-09-06 |
| 1902433600 | Americare, LLC | Durable Medical Equipment & Medical Supplies | 3326 Van Zandt Ct, Southlake, TX 76092-3333 | 2020-03-24 |
| 1356899025 | Vintage Medical, LLC | Durable Medical Equipment & Medical Supplies | 251 E Southlake Blvd Ste 150, Southlake, TX 76092-6276 | 2016-09-12 |
| 1518410711 | Blue Ridge Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 351 Bank St, # 102, Southlake, TX 76092 | 2016-07-25 |
| 1013360999 | Axis Pain Institute of North America | Durable Medical Equipment & Medical Supplies | 1209 Saint Emilion Ct, Southlake, TX 76092-4617 | 2016-07-15 |
| 1205284783 | Spry Medical Group Corporation | Durable Medical Equipment & Medical Supplies | 558 Silicon Dr Ste 102, Southlake, TX 76092-7530 | 2016-05-25 |
| 1578917654 | Innovative Prosthetics Inc | Durable Medical Equipment & Medical Supplies | 935 S Kimball Ave, Ste 170, Southlake, TX 76092-9032 | 2016-04-14 |
| 1013336437 | Randall Edward Clark Jr. | Durable Medical Equipment & Medical Supplies | 918 E Southlake Blvd, Southlake, TX 76092-6344 | 2014-04-14 |
| 1497055677 | Vra, Inc | Durable Medical Equipment & Medical Supplies | 2140 E. Southlake Blvd., Ste. L #508, Southlake, TX 76092 | 2010-10-22 |
| 1295060259 | Curatus Health Solutions Inc | Durable Medical Equipment & Medical Supplies | 700 E Southlake Blvd, 130-b, Southlake, TX 76092-6353 | 2009-10-08 |
| Find all providers in SOUTHLAKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.