Organization
LINCLON MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EDWARD FARIAS B.S. (MANAGER)
(713) 576-6903
Entity
Organization
Contact information
Practice address
4009 BELLAIRE BLVD, #K, HOUSTON, TX 77025-1168
(713) 576-6903
Mailing address
PO BOX 10347, CORPUS CHRISTI, TX 78460-0347
(713) 576-6903
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TXDME
TX
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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