Organization
HEALTH II OF TEXAS
Active
Other names
PANTEGO MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MARCUS ANDERSON (CEO ADMINISTRATIVE MEMBER)
(480) 315-8607
Entity
Organization
Contact information
Practice address
2224 W PARK ROW DR STE D, PANTEGO, TX 76013-3488
(817) 460-7800
(817) 460-7778
Mailing address
8723 E VIA DE COMMERCIO, SCOTTSDALE, AZ 85258-3328
(480) 315-8607
(480) 315-8796
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0085311
TX
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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