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Organization
EAST MEDICAL LLC
Active
Organization
EAST MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANNE FULLER (BILLER)
(469) 395-8402
Entity
Organization
Contact information
Practice address
401 CONGRESS AVE STE 1540, AUSTIN, TX 78701-3851
(214) 770-2611
Mailing address
401 CONGRESS AVE STE 1540, AUSTIN, TX 78701-3851
(214) 770-2611
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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