Organization
EXPRESS MEDICAL PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE O QUIRK JR. (OWNER)
(225) 664-2303
Entity
Organization
Contact information
Practice address
301 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4722
(225) 664-2303
(225) 665-0510
Mailing address
910 PIERREMONT ROAD, SUITE 108, SHREVEPORT, LA 71106-2058
(318) 424-4150
(318) 424-4181
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386065
—
LA
Enumeration date
07/26/2005
Last updated
01/22/2014
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