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Organization
MED SHOP TOTAL CARE, INC
Active
Organization
MED SHOP TOTAL CARE, INC
Active
Other names
Med Shop Medical Depot
Organization subpart
No
Provider details
NPI number
Authorized official
JAN DOWNING RN (VICE PRESIDENT)
(903) 236-0090
Entity
Organization
Contact information
Practice address
472 E LOOP 281, LONGVIEW, TX 75605-7939
(903) 236-0090
(903) 236-0095
Mailing address
472 E LOOP 281, LONGVIEW, TX 75605-7939
(903) 236-0090
(903) 236-0095
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0043245
TX
Other
Enumeration date
08/31/2006
Last updated
08/22/2022
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