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Organization
MOMENTUM DME, LLC
Active
Organization
MOMENTUM DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LONG (OWNER)
(903) 224-5474
Entity
Organization
Contact information
Practice address
121 S BROADWAY AVE STE 606, TYLER, TX 75702-7281
(903) 224-5474
Mailing address
121 S BROADWAY AVE STE 606, TYLER, TX 75702-7281
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/31/2020
Last updated
10/06/2020
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