Provider Demographics
NPI:1427359694
Name:MEDICAL TECHNOLOGIES, INC.
Entity type:Organization
Organization Name:MEDICAL TECHNOLOGIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MONLEZUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-491-1100
Mailing Address - Street 1:401 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-1527
Mailing Address - Country:US
Mailing Address - Phone:337-491-1100
Mailing Address - Fax:337-491-1122
Practice Address - Street 1:7824 JONES MALTSBERGER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6919
Practice Address - Country:US
Practice Address - Phone:210-826-0481
Practice Address - Fax:210-826-0634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000463332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1141410003Medicare NSC