| |
1327 Troup Hwy, Tyler, TX 75701-4443 | |
(903) 606-4733 | |
(903) 592-7499 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 1327 Troup Hwy, Tyler, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548994254 | NPI | - | NPPES |
PENDING | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 846098, Dallas, TX 75284-6098 Ph: () - | 1327 Troup Hwy, Tyler, TX 75701-4443 Ph: (903) 606-4733 |