Organization
DR SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS ROY PETERSON (OWNER/MANAGER)
(817) 846-9502
Entity
Organization
Contact information
Practice address
2601 COUNTY ROAD 415, CLEBURNE, TX 76031-9061
(817) 846-9502
(817) 645-4550
Mailing address
2601 COUNTY ROAD 415, CLEBURNE, TX 76031-9061
(817) 846-9502
(817) 645-4550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0091228
TX
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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