| NPI | 1033221494 |
|---|---|
| Doing Business As | MED SHOP MEDICAL DEPOT |
| Entity Type | Organization |
| Authorized Contact | JAN DOWNING Vice President 903-236-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0043245) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-08-22 |