Organization
HUCKS MEDICAL SUPPLY INC
Active
Other names
East Texas Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYCE EDWARDS HAYES (PRESIDENT)
(903) 593-7715
Entity
Organization
Contact information
Practice address
524 E FRONT ST, TYLER, TX 75702-8214
(903) 593-7715
(903) 561-1914
Mailing address
524 E FRONT ST, TYLER, TX 75702-8214
(903) 593-7715
(903) 561-1914
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081570
TX DEPT OF ST HEALTH SERV
TX
05
—
156774502
—
TX
Enumeration date
09/05/2006
Last updated
07/15/2008
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