Organization
PROMED MEDICAL & RESPIRATORY SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REENE E. CHESSER (SECRETARY)
(409) 768-1500
Entity
Organization
Contact information
Practice address
1465 N MAIN ST, VIDOR, TX 77662-3009
(409) 768-1500
(409) 768-1551
Mailing address
1465 N MAIN ST, VIDOR, TX 77662-3009
(409) 768-1500
(409) 768-1551
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
010823501
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
016685201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010823501
—
TX
05
—
016685201
—
TX
Enumeration date
12/18/2006
Last updated
01/20/2009
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