# CROWN MEDICAL COMPANY

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

## Provider details

- **NPI number:** 1265571616
- **Authorized official:** MR. BOBBY ROYCE LOGAN RRT NPS RPSGT (MANAGER)
- **Authorized official phone:** (806) 780-2642

## Contact information

- **Practice address:** 517 82ND ST, LUBBOCK, TX 79404-6337
- **Practice address phone:** (806) 780-2642
- **Practice address fax:** (806) 780-5055
- **Mailing address:** PO BOX 3987, LUBBOCK, TX 79452-3987
- **Mailing address phone:** (806) 780-2642
- **Mailing address fax:** (806) 780-5055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0034595 | TX | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 03/28/2008