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Organization
EAST TEXAS HOME MEDICAL AND HOME MODIFICATIONS
Active
Organization
EAST TEXAS HOME MEDICAL AND HOME MODIFICATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE HAYES (OWNER)
(903) 617-8800
Entity
Organization
Contact information
Practice address
16568 KINGSTON CT, TYLER, TX 75703-7338
(903) 617-8800
(903) 630-2402
Mailing address
16568 KINGSTON CT, TYLER, TX 75703-7338
(903) 617-8800
(903) 630-2402
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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