# VICTORY MEDICAL EQUIPMENT OF TX

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VICTORY MEDICAL EQUIPMENT OF TX
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275840407
- **Legal business name:** VICTORY MEDICAL EQUIPMENT OF TX
- **Authorized official:** JUDY K BOLEN (ADMINISTRATOR)
- **Authorized official phone:** (903) 868-0308

## Contact information

- **Practice address:** 2501 N CENTER ST, SUITE 105, BONHAM, TX 75418-2114
- **Practice address phone:** (903) 583-3562
- **Practice address fax:** (903) 583-8636
- **Mailing address:** 809 GALLAGHER DR, SUITE D, SHERMAN, TX 75090-3111
- **Mailing address phone:** (903) 868-0308
- **Mailing address fax:** (903) 868-0207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0099790 | TX | Yes |

## Other

- **Enumeration date:** 09/09/2010
- **Last updated:** 09/09/2010