Organization
AXIS MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT VEILLEUX (PRESIDENT)
(915) 603-3616
Entity
Organization
Contact information
Practice address
5360 N MESA ST, SUITE J10, EL PASO, TX 79912-5872
(915) 603-3616
(915) 533-3031
Mailing address
P O BOX 221347, EL PASO, TX 79913
(915) 603-3616
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0096015
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
532595
BCBS OF TEXAS
TX
01
—
9329076
AETNA
TX
Enumeration date
06/14/2007
Last updated
05/19/2008
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