Organization
LEGACY DURABLE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH PAUL COOKSEY (PRESIDENT)
(409) 896-5937
Entity
Organization
Contact information
Practice address
8035 EASTEX FWY, SUITE A, BEAUMONT, TX 77708-2420
(409) 896-5937
(409) 896-5938
Mailing address
PO BOX 7567, BEAUMONT, TX 77726-7567
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/28/2009
Last updated
10/08/2010
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