Organization
BOTHUN MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL BOTHUN (OWNER)
(281) 497-6400
Entity
Organization
Contact information
Practice address
6530 E 21ST ST STE B, TULSA, OK 74129-1274
(281) 497-6400
Mailing address
PO BOX 6753, KATY, TX 77491-6753
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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