# MED SHOP TOTAL CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Med Shop Medical Depot
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033221494
- **Authorized official:** JAN DOWNING RN (VICE PRESIDENT)
- **Authorized official phone:** (903) 236-0090

## Contact information

- **Practice address:** 472 E LOOP 281, LONGVIEW, TX 75605-7939
- **Practice address phone:** (903) 236-0090
- **Practice address fax:** (903) 236-0095
- **Mailing address:** 472 E LOOP 281, LONGVIEW, TX 75605-7939
- **Mailing address phone:** (903) 236-0090
- **Mailing address fax:** (903) 236-0095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0043245 | TX | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2022