Organization
TRI MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOSEPH DIXON (MANAGER)
(580) 256-7006
Entity
Organization
Contact information
Practice address
1108 TEXAS ST, WOODWARD, OK 73801-3130
(580) 256-7006
(580) 256-7513
Mailing address
1108 TEXAS ST, WOODWARD, OK 73801-3130
(580) 256-7006
(580) 256-7513
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
01/21/2008
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