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VICTORY MEDICAL EQUIPMENT OF TEXAS LLC NPI 1578690616


NPI Information

NPI: 1578690616
Provider Name: VICTORY MEDICAL EQUIPMENT OF TEXAS, LLC

Doing Business As: VICTORY MEDICAL EQUIPMENT OF TEXAS

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
301 W. SAM RAYBURN
BONHAM, TX
ZIP 75418
Phone: (903) 583-3562
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VICTORY MEDICAL EQUIPMENT OF TEXAS, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Bonham, TX. VICTORY MEDICAL EQUIPMENT OF TEXAS, LLC NPI is 1578690616. The provider is registered as an organization entity type.
The provider Is Doing Business As Victory Medical Equipment Of Texas.

The provider's business location address is:

301 W. SAM RAYBURN
BONHAM, TX
ZIP 75418-237
Phone: (903) 583-3562
Fax: (903) 583-8636

The provider's authorized official is Joan C. Weems .
The authorized official title is Owner/administrator and has the following contact phone number (580) 371-2002.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 2/25/2014.


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 & SuppliesNo
2332BX2000XDurable 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
16059030001MEDICARE NSC
21921652MEDICAIDTEXAS
36059030001MEDICARE UPIN

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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