Organization
TRAVIS MEDICAL SALES CORPORATION
Active
Organization
TRAVIS MEDICAL SALES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN YULE (VICE PRESIDENT)
(512) 458-4589
Entity
Organization
Contact information
Practice address
6020 MIDWAY PARK BLVD NE STE G, ALBUQUERQUE, NM 87109-5842
(505) 221-6015
(505) 221-6014
Mailing address
1104 W 34TH ST, AUSTIN, TX 78705-1908
(512) 489-4589
(512) 454-9521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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