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Organization

VANDERPOOL DURABLE MEDICAL EQUIPMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEAN VANDERPOOL M.D. (OWNER)
(915) 591-6000
Entity
Organization

Contact information

Practice address
9530 VISCOUNT BLVD STE 1G, EL PASO, TX 79925-7055
(915) 591-6000
(915) 591-6007
Mailing address
PO BOX 972388, EL PASO, TX 79997-2388
(915) 591-6000
(915) 591-6007

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0086372
TX

Other

Enumeration date
06/05/2006
Last updated
07/26/2007
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