Organization
MEDSOURCE MIDWEST, LLC
Active
Other names
Wagenseller & Company
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WAGENSELLER (OWNER)
(832) 334-3773
Entity
Organization
Contact information
Practice address
71 S ALMONDELL CIR, MAGNOLIA, TX 77354-3373
(832) 334-3773
Mailing address
6315 FM 1488 RD STE B, BOX 244, MAGNOLIA, TX 77354-2526
(832) 334-3773
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/15/2010
Last updated
08/16/2011
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