# MINERAL WELLS MEDICAL SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Graham Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275116741
- **Authorized official:** REBBEKAH DAVIS (OWNER)
- **Authorized official phone:** (940) 521-9460

## Contact information

- **Practice address:** 1706 STATE HIGHWAY 16 S, GRAHAM, TX 76450-4606
- **Practice address phone:** (940) 452-1986
- **Mailing address:** PO BOX 1152, MINERAL WELLS, TX 76068-1152
- **Mailing address phone:** (940) 521-9460
- **Mailing address fax:** (940) 521-9442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2021
- **Last updated:** 10/15/2021