Organization
MINERAL WELLS MEDICAL SUPPLY, INC.
Active
Other names
Graham Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
REBBEKAH DAVIS (OWNER)
(940) 521-9460
Entity
Organization
Contact information
Practice address
1706 STATE HIGHWAY 16 S, GRAHAM, TX 76450-4606
(940) 452-1986
Mailing address
PO BOX 1152, MINERAL WELLS, TX 76068-1152
(940) 521-9460
(940) 521-9442
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
10/15/2021
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