Organization
DURA MEDIC, LLC
Active
Parent organization
DURA MEDIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DURA MEDIC, LLC
Authorized official
TIM TIDD (AUTHORIZED OFFICIAL)
(512) 320-5400
Entity
Organization
Contact information
Practice address
8044 SUMMA AVE # B-2, BATON ROUGE, LA 70809-3411
(512) 320-5400
Mailing address
PO BOX 2728, AUSTIN, TX 78768-2728
(512) 320-5400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
06/11/2019
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