Organization
B & G HARVEST MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRE J. GIBBONS (PRESIDENT)
(940) 687-6100
Entity
Organization
Contact information
Practice address
1801 GRANT ST, WICHITA FALLS, TX 76309-3219
(940) 687-6100
(940) 687-6102
Mailing address
1801 GRANT ST, WICHITA FALLS, TX 76309-3219
(940) 687-6100
(940) 687-6102
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
01/30/2014
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