Organization
KIRK A DUNCAN
Active
Other names
Pro Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK A DUNCAN (OWNER)
(936) 295-7104
Entity
Organization
Contact information
Practice address
1526 SAM HOUSTON AVE, HUNTSVILLE, TX 77340-4533
(936) 295-7104
(936) 295-6833
Mailing address
1526 SAM HOUSTON AVE, HUNTSVILLE, TX 77340-4533
(936) 295-7104
(936) 295-6833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0043769
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0043769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530715
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
06/18/2006
Last updated
02/22/2008
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