| NPI | 1831243500 |
|---|---|
| Other Name | TRAVIS MEDICAL SALES CORPORATION |
| Entity Type | Organization |
| Authorized Contact | JEFFREY MATUKEWICZ Corporate Secretary 423-756-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 1009) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1009) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2022-02-28 |