NPI 1366876567
Modification Concepts LLC
Practice location
- Address
- 3105 Forest Shores Ln, Highland Village, TX 75077-6487
- Phone
- (800) 715-2563
- Fax
- (888) 564-5237
Authorised official
- Name
- Charles Clute
- Title
- Ceo
- Phone
- (516) 707-9911
Registered specialties
Customized Equipment (DME)
Primary
Registry record
- NPI
- 1366876567
- Entity type
- Organization
- NPI issued
- 25 Aug 2013
- Record last updated
- 25 Aug 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.