Organization
EAST TX DME SUPPLY INC
Active
Other names
East TX DME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEAH JO HUGHES (OWNER)
(936) 707-1921
Entity
Organization
Contact information
Practice address
13570 E STATE HIGHWAY 103, HUNTINGTON, TX 75949-2672
(936) 707-1921
(833) 901-4011
Mailing address
13570 E STATE HIGHWAY 103, HUNTINGTON, TX 75949-2672
(936) 707-1921
(833) 901-4011
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003012
DEV DISTRIBUTOR LICENSE
TX
Enumeration date
03/16/2022
Last updated
05/04/2022
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