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Organization
TRAVIS MEDICAL SALES CORPORATION
Active
Organization
TRAVIS MEDICAL SALES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MATUKEWICZ (SECRETARY)
(423) 756-2268
Entity
Organization
Contact information
Practice address
11436 ROJAS DR, SUITE #B6, EL PASO, TX 79936-6471
(915) 629-7174
(915) 629-7224
Mailing address
5959 SHALLOWFORD RD STE 443, CHATTANOOGA, TN 37421-2245
(423) 756-2268
(423) 362-5413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
03/20/2015
Last updated
03/25/2021
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