# ACT MEDGROUP, LLC

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

## Provider details

- **NPI number:** 1194334342
- **Authorized official:** AMANDA MITCHELL (ADMINISTRATOR)
- **Authorized official phone:** (903) 744-9053

## Contact information

- **Practice address:** 12325 HUDSON DR, ALVARADO, TX 76009-6132
- **Practice address phone:** (903) 744-9053
- **Practice address fax:** (940) 427-7189
- **Mailing address:** PO BOX 2099, MANSFIELD, TX 76063-0019
- **Mailing address phone:** (903) 744-9053

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2020
- **Last updated:** 07/23/2020