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Organization
TRAVIS MEDICAL SALES CORPORATION
Active
Organization
TRAVIS MEDICAL SALES CORPORATION
Active
Parent organization
TRAVIS MEDICAL SALES CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRAVIS MEDICAL SALES CORPORATION
Authorized official
JEFFREY MATUKEWICZ (SECRETARY)
(423) 756-2268
Entity
Organization
Contact information
Practice address
118 S PARK DR STE A, BROWNWOOD, TX 76801-5957
(325) 643-3290
(325) 643-3295
Mailing address
5959 SHALLOWFORD RD STE 443, CHATTANOOGA, TN 37421-2245
(423) 756-2268
(423) 362-5413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
0107430
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0107430
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0107430
TX
Other
Enumeration date
02/23/2009
Last updated
03/25/2021
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