Organization
GLORY B. LAWSON
Active
Organization
GLORY B. LAWSON
Active
Other names
Joann Medical Supply & Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
GLORY LAWSON (ADMINISTRATOR)
(281) 493-5520
Entity
Organization
Contact information
Practice address
19901 SOUTHWEST FWY, SUITE 131, SUGAR LAND, TX 77479-6538
(281) 493-5520
(281) 341-1474
Mailing address
PO BOX 552, RICHMOND, TX 77406-0014
(281) 493-5520
(281) 341-1474
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0064572
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156155701
—
TX
05
—
156155702
—
TX
05
—
156155703
—
TX
01
—
531589
BLUECROSS BLUESHIELD
TX
Enumeration date
02/08/2008
Last updated
06/24/2008
Update your record
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