Organization
EAST TEXAS HOME MEDICAL AND HOME MODIFICATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE HAYES (OWNER)
(903) 617-8800
Entity
Organization
Contact information
Practice address
16568 KINGSTON CT, TYLER, TX 75703-7338
(903) 617-8800
(903) 630-2402
Mailing address
16568 KINGSTON CT, TYLER, TX 75703-7338
(903) 617-8800
(903) 630-2402
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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