Organization
DAVID A AWALT
Active
Other names
Seymour Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ALLEN (OFFICE MANAGER/CFO)
(940) 889-6060
Entity
Organization
Contact information
Practice address
110 W REIMAN ST, SEYMOUR, TX 76380-2553
(940) 889-6060
(940) 889-6050
Mailing address
110 W REIMAN ST, SEYMOUR, TX 76380-2553
(940) 889-6060
(940) 889-6050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0068341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158522601
—
TX
05
—
158522602
—
TX
Enumeration date
06/09/2005
Last updated
06/23/2008
Update your record
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