# SCISSOR TAIL ENTERPRISES LLC DBA SCISSORTAIL MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1184403818
- **Authorized official:** MICHAEL JOE GENTRY (OWNER)
- **Authorized official phone:** (903) 203-7922

## Contact information

- **Practice address:** 5899 HWY 80 EAST, BUILDING A SUITE 3, LONGVIEW, TX 75605-6837
- **Practice address phone:** (903) 660-5097
- **Practice address fax:** (903) 660-5131
- **Mailing address:** 133 SADDLE BROOK CIR, HALLSVILLE, TX 75650-7722
- **Mailing address phone:** (903) 203-7922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2023
- **Last updated:** 12/05/2023