Organization
IZZY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY DELL ISBELL SECRETARY (SECRETARY)
(903) 693-2923
Entity
Organization
Contact information
Practice address
106 N SHELBY ST, CARTHAGE, TX 75633
(903) 693-2923
(903) 693-3931
Mailing address
106 N SHELBY ST, CARTHAGE, TX 75633
(903) 693-2923
(903) 693-3931
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1625787
MEDICAID
LA
Enumeration date
08/07/2006
Last updated
08/22/2020
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