Organization
HAYS DME
Active
Other names
Family Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG WILKS (OWNER)
(806) 771-9701
Entity
Organization
Contact information
Practice address
1901 50TH ST, LUBBOCK, TX 79412-2721
(806) 771-9701
(806) 771-9703
Mailing address
1901 50TH ST, LUBBOCK, TX 79412-2721
(806) 771-9701
(806) 771-9703
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0092919
TX
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
0092919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016378401
—
TX
Enumeration date
04/04/2007
Last updated
03/16/2011
Update your record
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