Organization
WALSON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK WALLACE (CEO)
(409) 835-3091
Entity
Organization
Contact information
Practice address
3221 COMMON ST, LAKE CHARLES, LA 70601-8540
(337) 433-3360
Mailing address
50 N 11TH ST, BEAUMONT, TX 77702-2225
(409) 835-3091
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1349330
—
LA
Enumeration date
11/06/2006
Last updated
09/26/2007
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