Organization
AABCO MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA K LUTTRELL (PRESIDENT / OWNER)
(903) 439-1118
Entity
Organization
Contact information
Practice address
582 AIRPORT RD, SULPHUR SPRINGS, TX 75482-2008
(903) 439-1118
(903) 885-4721
Mailing address
PO BOX 2104, SULPHUR SPRINGS, TX 75483-2104
(903) 439-1118
(903) 885-4721
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
20865
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000530138
BC/BS PROVIDER
TX
Enumeration date
09/14/2006
Last updated
08/22/2020
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