Organization
MINERAL WELLS MEDICAL SUPPLY, INC
Active
Other names
BRECKENRIDGE MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
REBBEKAH DAVIS (OWNER)
(940) 325-2706
Entity
Organization
Contact information
Practice address
801 E WALKER ST, BRECKENRIDGE, TX 76424-3745
(254) 559-2345
Mailing address
PO BOX 1152, MINERAL WELLS, TX 76068-1152
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001185
TX
Other
Enumeration date
09/01/2015
Last updated
10/15/2021
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