Organization
OAK DME SUPPLY COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM D CROMER JR. (OWNER)
(903) 278-2474
Entity
Organization
Contact information
Practice address
6500 SUMMERHILL RD STE C, TEXARKANA, TX 75503-1721
(903) 306-0908
(903) 306-0925
Mailing address
6500 SUMMERHILL ROAD, SUITE C, TEXARKANA, TX 75503
(903) 306-0908
(903) 306-0925
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225317716
—
AR
05
—
380470001
—
TX
Enumeration date
09/27/2016
Last updated
10/01/2018
Update your record
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