Malcolm Randall Quattlebaum in Athens - Durable Medical Equipment & Medical Supplies
Malcolm Randall Quattlebaum - NPI 1255456661
Malcolm Randall Quattlebaum is a Durable Medical Equipment & Medical Supplies in Athens, Texas. Malcolm Randall Quattlebaum practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Malcolm Randall Quattlebaum is 1255456661. The last update date is 2009-01-20.
Malcolm Randall Quattlebaum's current location address is 3090 Fm 317, Athens, Texas. You can contact this provider via phone number 9036755900 and fax number 9036755900. The mailing address for Malcolm Randall Quattlebaum is 3090 Fm 317, Athens, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Malcolm Randall Quattlebaum |
|---|---|
| Address | 3090 Fm 317, Athens, Texas |
| Phone Number | 9036755900 |
| Fax Number | 9036755900 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1255456661 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2009-01-20 |
Provider Mailing Address Detail
| Address | 3090 Fm 317 |
|---|---|
| City | Athens |
| State | Texas (TX) |
| Post Code | 757525796 |
| Phone Number | 9036755900 |
| Fax Number | 9036755900 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 79342 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 507686 | TX | BLUE CROSS BLUE SHIELD |
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What is the unique identification code assigned to Malcolm Randall Quattlebaum by the Centers for Medicare & Medicaid Services?
The Malcolm Randall Quattlebaum has been issued the NPI (National Provider Identifier) 1255456661. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Malcolm Randall Quattlebaum?
The Malcolm Randall Quattlebaum is situated at 3090 Fm 317, in the city of Athens, state of TX, with the zip code 757525796.
What is the Malcolm Randall Quattlebaum's specialty and taxonomy code?
The Malcolm Randall Quattlebaum's specialty is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code is 332B00000X.
When did Malcolm Randall Quattlebaum receive its 1255456661 assignment?
The Malcolm Randall Quattlebaum was assigned its 1255456661 on 2007-03-21, which is the date when this unique identifier was issued to the organization.
When was the information regarding Malcolm Randall Quattlebaum most recently updated?
The details pertaining to the Malcolm Randall Quattlebaum, including its address, specialty, and other relevant information, were last refreshed on 2009-01-20.
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