Organization
AMERICAN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK LYNN HUBBARD (OWNER)
(903) 293-8739
Entity
Organization
Contact information
Practice address
5316 GALLOPING WAY, TEXARKANA, TX 75503-0100
(903) 831-9904
Mailing address
5316 GALLOPING WAY, TEXARKANA, TX 75503-0100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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