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Organization
NICKES MEDICAL SUPPLY, LLC
Active
Organization
NICKES MEDICAL SUPPLY, LLC
Active
Parent organization
NICKES MEDICAL SUPPLY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICKES MEDICAL SUPPLY, LLC
Authorized official
NGOZI AUSTIN-ELEJE (MANAGER)
(915) 633-3724
Entity
Organization
Contact information
Practice address
215 EAST BROADWAY, VAN HORN, TX 79855
(432) 283-1000
(915) 533-0078
Mailing address
2820 N STANTON ST, EL PASO, TX 79902-2509
(915) 633-3724
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0094093
TX
Other
Enumeration date
07/29/2016
Last updated
09/02/2016
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