Organization
AFFINITY DISTRIBUTION, INC.
Active
Other names
Affinity Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUBREY HINES (CEO)
(806) 771-0335
Entity
Organization
Contact information
Practice address
6207 19TH ST, LUBBOCK, TX 79407-1401
(806) 771-0335
(806) 209-0111
Mailing address
5109 82ND ST, SUITE 7-1140, LUBBOCK, TX 79424-3028
(806) 771-0335
(806) 209-0111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0079200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147017100
FIRSTCARE
TX
05
—
172495702
—
TX
01
—
532069
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/09/2006
Last updated
10/26/2010
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