# GENESIS MEDICAL PRODUCTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Durable Medical Equipment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699068981
- **Authorized official:** MRS. VERDEAN E GRIGSBY (OWNER)
- **Authorized official phone:** (903) 595-1653

## Contact information

- **Practice address:** 1107 CLYDE DR, TYLER, TX 75701-8025
- **Practice address phone:** (903) 595-1653
- **Mailing address:** 1107 CLYDE DR, TYLER, TX 75701-8025
- **Mailing address phone:** (903) 595-1653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 515670 | TX | Yes |

## Other

- **Enumeration date:** 05/19/2011
- **Last updated:** 05/19/2011