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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
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