Organization
MED CARE MEDICAL SUPPLY OF N. TEXAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH HUDSON DOOLEY (FINANCIAL MANAGER)
(940) 549-9797
Entity
Organization
Contact information
Practice address
2804 S FM 51 STE B, DECATUR, TX 76234-4089
(940) 626-4600
(940) 626-4618
Mailing address
1005 HWY 16 S, GRAHAM, TX 76450
(940) 549-9797
(940) 549-8383
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
89593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
532828
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/30/2007
Last updated
03/15/2010
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