Individual
WILLARD DAVID KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 EAST MAIN, OLNEY, TX 76374
(940) 564-2982
(940) 564-2932
Mailing address
PO BOX 266, OLNEY, TX 76374-0266
(940) 564-2982
(940) 564-2932
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
041759
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011903401
—
TX
Enumeration date
10/09/2007
Last updated
01/07/2008
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