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Organization
MDM HOME MEDICAL EQUIPMENT, LLC
Active
Organization
MDM HOME MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DEWAYNE ANDRUS (PRESIDENT)
(940) 691-6100
Entity
Organization
Contact information
Practice address
4084 REGENT DR, WICHITA FALLS, TX 76308-1508
(940) 691-6100
Mailing address
PO BOX 4847, WICHITA FALLS, TX 76308-0847
(940) 691-6100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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