Organization
DR SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG ROY PETERSON (OWNER)
(817) 846-9502
Entity
Organization
Contact information
Practice address
213 N EASTERN ST, KEENE, TX 76059-2219
(817) 846-9502
Mailing address
213 N EASTERN ST, KEENE, TX 76059-2219
(817) 846-9502
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0091228
TX
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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