# MED CARE MEDICAL SUPPLY OF NO.TX INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MED CARE MEDICAL SUPPLY OF NO. TX INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689794026
- **Legal business name:** MED CARE MEDICAL SUPPLY OF NO. TX INC
- **Authorized official:** MRS. EDITH HUDSON DOOLEY (FINANCIAL MANAGER)
- **Authorized official phone:** (940) 549-9797

## Contact information

- **Practice address:** 3402 W WALKER ST, BRECKENRIDGE, TX 76424-3911
- **Practice address phone:** (254) 559-1500
- **Practice address fax:** (254) 559-1010
- **Mailing address:** 1005 HWY 16 S, GRAHAM, TX 76450
- **Mailing address phone:** (940) 549-9797
- **Mailing address fax:** (940) 549-9797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0057067 | TX | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 93470 | TX | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 372690 | TX | — |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 03/15/2010
