Organization
TEXMED SUPPLY LLC
Active
Other names
Pruett Medical Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY NOVAN KUNKA (PRESIDENT)
(254) 772-0040
Entity
Organization
Contact information
Practice address
6813 CACTUS DR, WACO, TX 76712-6742
(254) 772-0040
(254) 772-1110
Mailing address
6813 CACTUS DR, WACO, TX 76712-6742
(254) 772-0040
(254) 772-1110
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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