Organization
EXPEDIATE HEALTHCARE SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS IBIOK (OFFICE MANAGER)
(936) 639-3969
Entity
Organization
Contact information
Practice address
620 KURTH DR, LUFKIN, TX 75904-2063
(936) 639-3969
Mailing address
620 KURTH DR, LUFKIN, TX 75904-2063
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5724850001
TX
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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