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Organization

CHOICE MEDICAL SUPPLY INC

Active
Parent organization
CHOICE MEDICAL SUPPLY INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHOICE MEDICAL SUPPLY INC
Authorized official
J'LYNN ADAMS (OFFICE MANAGER)
(325) 677-2250
Entity
Organization

Contact information

Practice address
1705 HWY 1431, MARBLE FALLS, TX 78654-4921
(830) 798-9248
(830) 798-9249
Mailing address
17 WINDMILL CIR, ABILENE, TX 79606-5234
(325) 677-2250
(325) 677-2124

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0065657
TX
332B00000X
Durable Medical Equipment & Medical Supplies
14059
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10013733
AMERIGROUP MEDICAID
TX
01
112361
SUPERIOR MEDICAID NUMBER
TX
05
157888202
TX
01
519707
BLUE CROSS BLUE SHEILD
TX
Enumeration date
08/21/2006
Last updated
04/20/2008
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