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Organization

TRICARE MEDICAL

Active
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Organization

TRICARE MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICK D LAWLESS (OWNER GEN MGR)
(806) 894-0144
Entity
Organization

Contact information

Practice address
120 CLUBVIEW DR, LEVELLAND, TX 79336-6304
(806) 894-0144
(806) 894-6777
Mailing address
PO BOX 476, LEVELLAND, TX 79336-0476
(806) 894-0144
(806) 894-6777

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL

Other

Enumeration date
08/09/2006
Last updated
06/19/2012
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