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Organization

HEALTHSOURCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL VINSON (PRESIDENT)
(903) 785-1800
Entity
Organization

Contact information

Practice address
2610 LAMAR AVE, SUITE P, PARIS, TX 75460-4847
(903) 785-1800
(903) 785-1806
Mailing address
2610 LAMAR AVE, SUITE P, PARIS, TX 75460-4847
(903) 785-1800
(903) 785-1806

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0074380
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141803001
TX
05
141831101
TX
Enumeration date
09/27/2005
Last updated
02/17/2009
About Stedi
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  • EDI platform