Organization
AREA WIDE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF JENKINS R.R.T. (PRESIDENT)
(806) 894-6551
Entity
Organization
Contact information
Practice address
110 CLUBVIEW DR, LEVELLAND, TX 79336-6304
(806) 894-6551
(806) 894-1630
Mailing address
110 CLUBVIEW DR, LEVELLAND, TX 79336-6304
(806) 894-6551
(806) 894-1630
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011372201
—
TX
Enumeration date
06/18/2006
Last updated
09/29/2009
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