Organization Name: | MATHEWS MEDICAL SUPPLY, INC |
NPI Number: | 1063506749 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON S MATHEWS (CO-OWNER/SEC.TREAS) |
Mailing Address: | 2120 Worth Street Hemphill |
State: | TX US |
Postal Code: | 75948 |
Phone Number: | 4097873000 |
Fax Number: | 4097871660 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 0076650 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |