# TRICARE MEDICAL

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

## Provider details

- **NPI number:** 1831109941
- **Authorized official:** MR. RICK D LAWLESS (OWNER GEN MGR)
- **Authorized official phone:** (806) 894-0144

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 06/19/2012