Provider Demographics
NPI:1386941706
Name:LEAFGUARD BY BELDON INC
Entity type:Organization
Organization Name:LEAFGUARD BY BELDON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:EDELEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-341-3100
Mailing Address - Street 1:5039 WEST AVE
Mailing Address - Street 2:P O BOX 13380
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-2711
Mailing Address - Country:US
Mailing Address - Phone:210-341-3100
Mailing Address - Fax:210-340-5512
Practice Address - Street 1:5039 WEST AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-2711
Practice Address - Country:US
Practice Address - Phone:210-341-3100
Practice Address - Fax:210-340-5512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment