Organization
TEMPLE HEALTHCARE, INC
Active
Other names
Professional Medical
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE MCDONALD (GENERAL MANAGER)
(325) 653-1077
Entity
Organization
Contact information
Practice address
1313 S 1ST ST, TEMPLE, TX 76504-5762
(254) 773-4309
(254) 773-4932
Mailing address
PO BOX 422, SAN ANGELO, TX 76902-0422
(325) 653-1077
(325) 653-1077
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143522401
—
TX
05
—
143523201
—
TX
01
—
503791
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
02/01/2007
Last updated
08/08/2013
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