Organization
BRENDA SUE WIMPEE
Active
Other names
San Angelo Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA SUE WIMPEE (OWNER)
(325) 949-2612
Entity
Organization
Contact information
Practice address
2525 S JOHNSON, SUITE A, SAN ANGELO, TX 76904
(325) 949-2612
Mailing address
2525 S JOHNSON, SUITE A, SAN ANGELO, TX 76904
(325) 949-2612
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010569401
NHIC
TX
05
—
011356501
—
TX
01
—
530545
BCBS
TX
Enumeration date
08/04/2006
Last updated
06/16/2008
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