Organization
CUSTOM IMAGE CONCEPTS, INC.
Active
Other names
1 Source Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE SCOTT CUMMINGS (PRESIDENT/OWNER)
(806) 438-2008
Entity
Organization
Contact information
Practice address
3418 62ND ST, LUBBOCK, TX 79413-5423
(806) 438-2008
Mailing address
3418 62ND ST, LUBBOCK, TX 79413-5423
(806) 438-2008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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