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Organization

CLEAR CHOICE MEDICAL DISTRIBUTION LLC

Active
Other names
Kelvin R. Williams, Sole Member
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERESA C WILLIAMS (ADMINISTRATION)
(512) 326-4714
Entity
Organization

Contact information

Practice address
8868 RESEARCH BLVD, STE. 302, AUSTIN, TX 78758-6401
(512) 326-4714
(512) 326-4700
Mailing address
8868 RESEARCH BLVD, STE. 302, AUSTIN, TX 78758-6401
(512) 326-4714
(512) 326-4700

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000050
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168772501
TX
05
168772502
TX
Enumeration date
06/10/2009
Last updated
05/31/2011
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