is a Durable Medical Equipment & Medical Supplies in Ennis, Texas. practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for is 1417114380. The last update date is .
's current location address is Po Box 86, Ennis, Texas. You can contact this provider via phone number 9728756961. The mailing address for is Po Box 86, Ennis, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 86, Ennis, Texas |
| Phone Number | 9728756961 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417114380 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 86 |
|---|---|
| City | Ennis |
| State | Texas (TX) |
| Post Code | 751200086 |
| Phone Number | 9728756961 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 104673 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2004095 | TX | -- |
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