Organization
MEDICAL EQUIPMENT SHOP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT COEN (OFFICE MANAGER)
(830) 792-6333
Entity
Organization
Contact information
Practice address
212 QUINLAN ST, KERRVILLE, TX 78028-5314
(830) 792-6333
(830) 792-6311
Mailing address
PO BOX 291971, KERRVILLE, TX 78029-1971
(830) 792-6333
(830) 792-6311
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011921601
—
TX
Enumeration date
10/27/2005
Last updated
11/06/2008
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