Organization
SUPPORT MEDICAL COMPANY
Active
Parent organization
SUPPORT MEDICAL COMPANY
Other names
Support Medical Seminole
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPPORT MEDICAL COMPANY
Authorized official
MR. KATHRYN LOSKILL (CORP. SECRETARY)
(806) 792-9770
Entity
Organization
Contact information
Practice address
300 W AVENUE A # 4, SEMINOLE, TX 79360-3550
(432) 758-6507
(432) 758-6626
Mailing address
300 W AVENUE A # 4, SEMINOLE, TX 79360-3550
(432) 758-6507
(432) 758-6626
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
NOT APPLICABLE
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1711251-01
—
TX
05
—
1711251-02
—
TX
Enumeration date
11/01/2006
Last updated
02/25/2011
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