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Organization
TRAVIS MEDICAL SALES CORP
Active
Organization
TRAVIS MEDICAL SALES CORP
Active
Parent organization
TRAVIS MEDICAL SALES CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRAVIS MEDICAL SALES CORP
Authorized official
JEFFREY MATUKEWICZ (SECRETARY)
(423) 756-2268
Entity
Organization
Contact information
Practice address
4397 CRAWFORD DR, ABILENE, TX 79602-7827
(325) 793-3546
(325) 793-3548
Mailing address
5959 SHALLOWFORD RD STE 443, CHATTANOOGA, TN 37421-2245
(423) 756-2268
(423) 362-5413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
06/21/2011
Last updated
03/25/2021
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