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Organization
ROY BOLTON
Active
Organization
ROY BOLTON
Active
Other names
Dogwood Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY HENRY BOLTON RN (OWNER)
(903) 723-2355
Entity
Organization
Contact information
Practice address
704 W MAIN ST, PALESTINE, TX 75801-2608
(903) 723-2355
(903) 723-1580
Mailing address
PO BOX 841, ELKHART, TX 75839-0841
(903) 723-2355
(903) 723-1580
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0085013
TX
332BC3200X
Customized Equipment (DME)
0085013
TX
332BN1400X
Nursing Facility Supplies (DME)
0085013
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0085013
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0085013
TX
Other
Enumeration date
09/15/2010
Last updated
03/23/2011
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