Organization
MED CARE MEDICAL OF N. TX, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH HUDSON DOOLEY (FINANCIAL MANAGER)
(940) 549-9797
Entity
Organization
Contact information
Practice address
1005 HWY 16 S, GRAHAM, TX 76450
(940) 549-9797
(940) 549-8383
Mailing address
1005 HWY 16 S, GRAHAM, TX 76450
(940) 549-9797
(940) 549-8383
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
93470
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
372690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017092001
—
TX
01
—
531148
BLUE CROSS BLUE SHIELD IN
TX
Enumeration date
01/26/2007
Last updated
02/23/2010
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