Medico PS, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICO PS, LLC

Practice address

2140 E Southlake Blvd
Suite L-228
Southlake, TX 76092-6516

Phone

(682) 502-4242

NPI assigned

Apr 22, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Lanza

Title

Principal

Phone

(682) 502-4242

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1457771065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 E SOUTHLAKE BLVD",
            "address_2": "SUITE L-228",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926516",
            "telephone_number": "682-502-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 E SOUTHLAKE BLVD",
            "address_2": "SUITE L-228",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926516",
            "telephone_number": "682-502-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICO PS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "LANZA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "682-502-4242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Southlake, TX
• Providers in Southlake, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.