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Organization
MINERAL WELLS MEDICAL SUPPLY, INC.
Active
Organization
MINERAL WELLS MEDICAL SUPPLY, INC.
Active
Other names
Graham Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
REBBEKAH DAVIS (OWNER)
(940) 521-9460
Entity
Organization
Contact information
Practice address
1706 STATE HIGHWAY 16 S, GRAHAM, TX 76450-4606
(940) 452-1986
Mailing address
PO BOX 1152, MINERAL WELLS, TX 76068-1152
(940) 521-9460
(940) 521-9442
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
05/03/2021
Last updated
10/15/2021
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