# MINERAL WELLS MEDICAL SUPPLY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740205657
- **Authorized official:** MRS. REBBEKAH NADINE DAVIS (PRESIDENT/OWNER)
- **Authorized official phone:** (940) 325-2706

## Contact information

- **Practice address:** 211 SW 25TH AVE, MINERAL WELLS, TX 76067-8241
- **Practice address phone:** (940) 325-2706
- **Practice address fax:** (940) 325-4130
- **Mailing address:** PO BOX 1152, MINERAL WELLS, TX 76068-1152
- **Mailing address phone:** (940) 325-2706
- **Mailing address fax:** (940) 325-4130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0035334 | TX | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 10/15/2021