Organization
PERMIAN HEALTHCARE INC
Active
Other names
Star Oxygen & Medical Equipment Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADHU KOVELAMUDI (PRESIDENT)
(432) 580-7707
Entity
Organization
Contact information
Practice address
620 N GRANT AVE, SUITE 100, ODESSA, TX 79761-4541
(432) 580-7707
(432) 580-7937
Mailing address
620 N GRANT AVE, SUITE 100, ODESSA, TX 79761-4541
(432) 580-7707
(432) 580-7937
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16870001
—
TX
Enumeration date
04/05/2006
Last updated
10/01/2007
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