Organization
BRAZOS MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN RAY CRUM (VICE PRESIDENT/COO)
(757) 675-6400
Entity
Organization
Contact information
Practice address
2005 OLD GREENBRIER RD, SUITE #106, CHESAPEAKE, VA 23320-2649
(757) 675-6400
Mailing address
2005 OLD GREENBRIER RD, SUITE #106, CHESAPEAKE, VA 23320-2649
(757) 675-6400
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
S4451904
VA
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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