# HEALTHWELL MEDICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1245291442
- **Authorized official:** LARRY DEWAYNE ANDRUS (PRESIDENT)
- **Authorized official phone:** (940) 691-6100

## Contact information

- **Practice address:** 783 N GROVE RD, SUITE 108, RICHARDSON, TX 75081-6209
- **Practice address phone:** (972) 480-0990
- **Practice address fax:** (972) 480-8377
- **Mailing address:** PO BOX 4847, WICHITA FALLS, TX 76308-0847
- **Mailing address phone:** (940) 691-6100
- **Mailing address fax:** (940) 691-0757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 0039904 | TX | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0039904 | TX | — |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 03/11/2011