Organization
THE MED SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE E TEEL (OWNER)
(903) 639-3508
Entity
Organization
Contact information
Practice address
110 N . WALNUT, JEFFERSON, TX 75657
(903) 665-2525
(903) 665-2526
Mailing address
110 N WALNUT, JEFFERSON, TX 75657
(903) 665-2525
(903) 665-2526
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
25114
TX
333600000X
Pharmacy
Primary
25114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25114
PHARMACY
TX
Enumeration date
10/11/2006
Last updated
09/11/2025
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