Organization
KMM ENTERPRISES INC
Active
Other names
live well medical supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRENTON K FERGUSON (PRESIDENT)
(903) 530-3912
Entity
Organization
Contact information
Practice address
1901 DEERBROOK DR, TYLER, TX 75703-5972
(903) 561-5896
(903) 561-5887
Mailing address
1901 DEERBROOK DR, TYLER, TX 75703-5972
(903) 561-5896
(903) 561-5887
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0093289
TX
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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