Lifestyle Medical, Llc

LBN: Lifestyle Medical, Llc
Lifestyle Medical, Llc is an health care organization with primary practice located at 2205 W Beauregard Ave , San Angelo TX 76901-3701. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Lifestyle Medical, Llc can be contacted via phone (325) 617-2181, or through Engle, Darrel L via phone (325) 617-2181.

Contact Information

Primary practice address
2205 W Beauregard Ave San Angelo TX 76901-3701
Fax: (325) 617-2479
Website:
Authorized official contact:
Name: Engle, Darrel L

Health care specialties

Profile Details

NPI number 1609054501
LBN Legal business name Lifestyle Medical, Llc
DBA Doing business as
Authorized official Engle, Darrel L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2008
Last updated Oct 27th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609054501 NPPES
Texas Other 532817 BC/BS
Texas MEDICAID 1954927 BC/BS

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