Organization
DURA MED, INC.
Active
Other names
Corner Drug Store and Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
CRESTA TATE (MANAGER)
(512) 756-8550
Entity
Organization
Contact information
Practice address
600 BESSEMER AVE, LLANO, TX 78643-1608
(325) 247-4155
(325) 247-5554
Mailing address
600 BESSEMER AVE, LLANO, TX 78643-1608
(325) 247-4155
(325) 247-5554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0083377
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0083377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0916991-01
—
TX
05
—
0916991-03
—
TX
Enumeration date
12/29/2006
Last updated
02/09/2016
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