Durable Medical Equipment & Medical Supplies
Primary
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
TX license #0039917taxonomy 332B00000X
Identifiers
Type
Value
Notes
01 (TX)
014599
ADVANTAGE BY SUPERIOR
01 (TX)
533568
BLUECROSS BLUESHIELD OF TX
01 (TX)
QMP000003944245
MOLINA HEALTHCARE
05 (TX)
016799101
01 (TX)
1414840001
SUPERIOR STAR PLUS
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Medi- Tronics
Type code 5recorded 2012-01-13
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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