Organization
CENTURION DISTRIBUTORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER HAMM (OWNER)
(505) 933-4764
Entity
Organization
Contact information
Practice address
2600 WHITNEY DR, MIDLAND, TX 79705-6243
(505) 933-4764
(432) 247-1101
Mailing address
2600 WHITNEY DR, MIDLAND, TX 79705-6243
(505) 933-4764
(432) 247-1101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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