Organization
PIONEER HOME MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMI TABASSI (PRESIDENT)
(940) 285-5227
Entity
Organization
Contact information
Practice address
2611 PLAZA PKWY STE 301B, WICHITA FALLS, TX 76308-3870
(940) 285-5227
(866) 546-7990
Mailing address
2611 PLAZA PKWY STE 301B, WICHITA FALLS, TX 76308-3870
(940) 285-5227
(844) 527-4901
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183653801
—
TX
Enumeration date
08/31/2006
Last updated
01/03/2018
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