| NPI | 1770577660 |
|---|---|
| Doing Business As | ACTIVMEDICAL |
| Entity Type | Organization |
| Authorized Contact | JAMES BEALL GARNER President 940-484-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0030874) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 0030874) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0030874) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0030874) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2019-04-11 |