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Organization
TRAVIS MEDICAL SALES CORPORATION
Active
Organization
TRAVIS MEDICAL SALES CORPORATION
Active
Parent organization
TRAVIS MEDICAL SALES CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRAVIS MEDICAL SALES CORPORATION
Authorized official
JEFFREY MATUKEWICZ (SECRETARY)
(423) 756-2268
Entity
Organization
Contact information
Practice address
2910 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78415-1812
(361) 806-2772
(361) 806-2732
Mailing address
3201 INDUSTRIAL TERRACE #130, AUSTIN, TX 78758-7525
(512) 458-4589
(512) 454-9521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
Other
Enumeration date
06/15/2009
Last updated
03/25/2021
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