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Organization
SELECT HME, LLC
Active
Organization
SELECT HME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRENT MOORE RPH (PRESIDENT/OWNER)
(918) 335-6688
Entity
Organization
Contact information
Practice address
4135 S. 100 E AVE, SUITE 201, TULSA, OK 74146-1620
(918) 632-0004
(918) 632-0014
Mailing address
139 SE KATHERINE AVE, BARTLESVILLE, OK 74006-2316
(918) 335-6688
(918) 335-9787
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2-S-1070
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247400B
—
OK
Enumeration date
09/22/2006
Last updated
11/25/2008
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