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VICTORY MEDICAL EQUIPMENT OF TX NPI 1275840407


NPI Information

NPI: 1275840407
Provider Name: VICTORY MEDICAL EQUIPMENT OF TX
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
2501 N CENTER ST
SUITE 105
BONHAM, TX
ZIP 75418
Phone: (903) 583-3562
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VICTORY MEDICAL EQUIPMENT OF TX is an oxygen equipment and supplies durable medical equipment medical supplies in Bonham, TX. VICTORY MEDICAL EQUIPMENT OF TX NPI is 1275840407. The provider is registered as an organization entity type.

The provider's business location address is:

2501 N CENTER ST
SUITE 105
BONHAM, TX
ZIP 75418-114
Phone: (903) 583-3562
Fax: (903) 583-8636

The provider's authorized official is Judy K Bolen .
The authorized official title is Administrator and has the following contact phone number (903) 868-0308.

The enumeration date for this NPI number is 9/9/2010 and was last updated on 9/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies0099790TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1192165201MEDICAIDTEXAS
26059030001MEDICARE OSCAR/CERTIFICATIONTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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