# BRAZOS VALLEY MEDICAL EQUIPMENT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144438086
- **Authorized official:** MRS. PATRICIA ANN CHENNAULT (VICEPRESIDENTANDMANAGER)
- **Authorized official phone:** (936) 348-5709

## Contact information

- **Practice address:** 2644 DERBY LN, MADISONVILLE, TX 77864-4110
- **Practice address phone:** (936) 348-5709
- **Practice address fax:** (936) 348-5358
- **Mailing address:** 2644 DERBY LN, MADISONVILLE, TX 77864-4110
- **Mailing address phone:** (936) 348-5709
- **Mailing address fax:** (936) 348-5358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0041089 | TX | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020
