NPI: 1982183026 · LAFAYETTE, LA 70506 · Customized Equipment (DME) · NPI assigned 08/09/2018
| Authorized Official | CRISMAN, JONATHAN (MANAGER) |
| NPI Enumeration Date | 08/09/2018 |
Other providers sharing the same authorized official: CRISMAN, JONATHAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| PRN MEDICAL SERVICES INC | HUMBLE | TX | $662K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 61 | $4K |
| 2021 | 164 | $9K |