Organization
FIELD OF DREAMS, INC
Active
Other names
Support Hose Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY J LANCOUR (OWNER/CFO)
(806) 331-1618
Entity
Organization
Contact information
Practice address
14531 INTERSTATE 27, SUITE 100, AMARILLO, TX 79119
(806) 331-1618
(806) 331-3044
Mailing address
14531 INTERSTATE 27, SUITE 100, AMARILLO, TX 79119
(806) 331-1618
(806) 331-3044
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
08/08/2012
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