Active NPI
Lone Star Handicap Vans, LLC
- Private Vehicle
- Tyler, TX
National Provider Identifier
1457595068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 32033974448
- Legal business name
- LONE STAR HANDICAP VANS, LLC
- Practice address
- 12953 Hwy 64 W
Tyler, TX 75704-8029 - Phone
- (903) 592-8366
- Fax
- (903) 592-8369
- NPI assigned
- Apr 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Norma Niederhofer
- Title
- Vice-President
- Phone
- (903) 592-8366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 32033974448 | TX | Primary |
Addresses
Primary practice location
12953 Hwy 64 W
Tyler, TX 75704-8029
Mailing address
12953 Hwy 64 W
Tyler, TX 75704-8029
Phone (903) 592-8366
National Provider Directory
National Provider DirectoryLocations
12953 Highway 64 W
Tyler, TX 75704
Phone (903) 592-8366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240790400000",
"number": "1457595068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12953 HWY 64 W",
"city": "TYLER",
"state": "TX",
"postal_code": "757048029",
"telephone_number": "903-592-8366",
"fax_number": "903-592-8369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12953 HWY 64 W",
"city": "TYLER",
"state": "TX",
"postal_code": "757048029",
"telephone_number": "903-592-8366",
"fax_number": "903-592-8369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONE STAR HANDICAP VANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-27",
"last_updated": "2009-04-27",
"status": "A",
"authorized_official_last_name": "NIEDERHOFER",
"authorized_official_first_name": "NORMA",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "903-592-8366",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "TX",
"license": "32033974448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.