Organization
MED-ONE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KURT BERSANO (PRESIDENT)
(903) 526-3363
Entity
Organization
Contact information
Practice address
729 S MUSTANG RD, YUKON, OK 73099-6778
(405) 324-5711
(405) 324-5470
Mailing address
2811 ROBERTSON RD, TYLER, TX 75701-2524
(903) 526-3363
(903) 526-0205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200027300A
—
OK
Enumeration date
06/25/2006
Last updated
02/02/2012
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