Organization
AZLE OXYGEN SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBIN KEITH VARNES (PARTNER)
(817) 238-8989
Entity
Organization
Contact information
Practice address
1129 SOUTHEAST PKWY, AZLE, TX 76020-3803
(817) 238-8989
(817) 238-8998
Mailing address
1129 SOUTHEAST PKWY, AZLE, TX 76020-3803
(817) 238-8989
(817) 238-8998
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0036196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0874133-01
—
TX
Enumeration date
11/15/2005
Last updated
08/19/2008
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