Organization Name: | MPS MEDICAL SUPPLY INC |
NPI Number: | 1174598064 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYMOND DWAYNE JONAS (MANAGER) |
Mailing Address: | 1200 N Us Hwy 281 Lampasas |
State: | TX US |
Postal Code: | 765501171 |
Phone Number: | 5125562323 |
Fax Number: | 5125563878 |
NPI Enumeration Date: | 02/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 0046355 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |