Organization
MIDLAND DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY LOPEZ (AUTHORIZED OFFICIAL)
(432) 279-0786
Entity
Organization
Contact information
Practice address
1913 HERITAGE BLVD STE A, MIDLAND, TX 79707-9752
(432) 279-0786
Mailing address
1913 HERITAGE BLVD STE A, MIDLAND, TX 79707-9752
(432) 279-0786
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
09/17/2014
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