Organization
E-TEX HOMECARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANT KING (PRESIDENT)
(903) 342-6089
Entity
Organization
Contact information
Practice address
104 LOCUST ST, WINNSBORO, TX 75494-2520
(903) 342-6089
(903) 342-6096
Mailing address
104 LOCUST ST, WINNSBORO, TX 75494-2520
(903) 342-6089
(903) 342-6096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TX 0012919
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0068929
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165077201
—
TX
05
—
165077202
—
TX
Enumeration date
05/24/2006
Last updated
02/22/2010
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