Organization
EAST TEXAS RAYON SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA CAMPBELL (REGIONAL DIRECTOR)
(903) 569-9023
Entity
Organization
Contact information
Practice address
5361 S STATE HIGH WAY 37, MINEOLA, TX 75773
(903) 569-9023
(903) 569-9374
Mailing address
5361 S STATE HIGH WAY 37, MINEOLA, TX 75773
(903) 569-9023
(903) 569-9374
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172681201
—
TX
05
—
172681202
—
TX
Enumeration date
11/17/2006
Last updated
07/21/2022
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