Lee Healthcare Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LEE HEALTHCARE MEDICAL SUPPLY, LLC

Practice address

907 NE Big Bend TRL Ste D
Glen Rose, TX 76043-4913

Phone

(254) 897-1853

NPI assigned

Sep 24, 2009

Last updated

Aug 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lucy Lee

Title

President

Phone

(254) 386-8971

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1801120720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765310628",
            "telephone_number": "254-386-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 NE BIG BEND TRL STE D",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434913",
            "telephone_number": "254-897-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE HEALTHCARE MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-386-8971"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britt Douglas Kallemeyn, PAC
• Kaiden Kirkland
• Lance David Knox, COTA
• Joan Krystyniak-Collins, OTR
• Pierre E Laughton, M.D.
• Melinda Gaye Lewis, LPA
• Libra Emergency Physicians, PLLC
• Lipan Isd
• Josie Lopez, M.D.
• Katherine Lumpkins

• Durable Medical Equipment & Medical Supplies in Glen Rose, TX
• Providers in Glen Rose, 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 Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.