NPI age
12 years
Enumerated 2014-01-22
Across 6200 active durable medical equipment & medical supplies providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003194033A | |
| 01 (TX) | 1001211 | TEXAS DEVICE DISTRIBUTOR LICENSE |
Single-site organization. Only one practice location on file.
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