Organization
DURABLE MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT EDWARD BRADSHAW (PRESIDENT)
(512) 454-8663
Entity
Organization
Contact information
Practice address
3900 MEDICAL PKWY, AUSTIN, TX 78756-4004
(512) 454-8663
(512) 454-8665
Mailing address
3900 MEDICAL PKWY, AUSTIN, TX 78756-4004
(512) 454-8663
(512) 454-8665
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015508701
—
TX
05
—
086298901
—
TX
Enumeration date
06/21/2005
Last updated
06/01/2012
Update your record
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