Organization
PHYSICIANS DURABLE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN T WILLIAMS (OWNER)
(972) 265-6656
Entity
Organization
Contact information
Practice address
5700 GRANITE PARKWAY, SUITE 900, PLANO, TX 75024-6622
(972) 265-6634
(972) 265-6631
Mailing address
PO BOX 1283, PROSPER, TX 75078-1283
(972) 265-6634
(972) 265-6631
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531021
BLUE CROSS BLUE SHIELDS
TX
Enumeration date
12/05/2006
Last updated
05/09/2008
Update your record
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