Organization
LANDMARK MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY CRAIG ANCINEC (PRESIDENT)
(903) 297-7669
Entity
Organization
Contact information
Practice address
3549 GILMER RD STE D, LONGVIEW, TX 75604-1259
(903) 297-7669
(903) 297-4873
Mailing address
3549 GILMER RD STE D, LONGVIEW, TX 75604-1259
(903) 297-7669
(903) 297-4873
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010762501
—
TX
05
—
016591201
—
TX
Enumeration date
11/06/2007
Last updated
03/25/2010
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