Organization
CENTRAL TEXAS DME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBIN LEE COLE (TREASURER)
(254) 751-0699
Entity
Organization
Contact information
Practice address
600 LAKE AIR DR STE 8B, WACO, TX 76710-5888
(254) 751-0699
Mailing address
600 LAKE AIR DR STE 8B, WACO, TX 76710-5888
(254) 751-0699
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0082357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082357
MEDICAL DEVICE DISTRIBUTO
TX
Enumeration date
08/01/2006
Last updated
08/22/2020
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