Organization
AFO LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN HOLLEY (OWNER)
(409) 860-3156
Entity
Organization
Contact information
Practice address
9185 LANDIS DR, BEAUMONT, TX 77707-1245
(409) 860-3156
Mailing address
PO BOX 21293, BEAUMONT, TX 77720-1293
(409) 860-3156
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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