Organization
R & D MEDICAL ENTERPRISES, INC.
Active
Other names
Wichita Medical Supply Company
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY HORN (PRESIDENT)
(940) 723-9242
Entity
Organization
Contact information
Practice address
4208 HENRY GRACE FWY, WICHITA FALLS, TX 76302-2201
(940) 723-9242
(940) 767-4412
Mailing address
4208 HENRY GRACE FWY, WICHITA FALLS, TX 76302-2201
(940) 723-9242
(940) 767-4412
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0037355
TX
332BC3200X
Customized Equipment (DME)
0037355
TX
332BN1400X
Nursing Facility Supplies (DME)
0037355
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0037355
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0037355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
509676
BCBS PROVIDER NUMBER
TX
Enumeration date
05/30/2006
Last updated
11/07/2007
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