Organization Name: | TRAVIS SARGENT DC PC |
NPI Number: | 1770713646 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRAVIS NORMAN SARGENT (PRESIDENT) |
Mailing Address: | 321 N Pecos Rd Suite 200 Henderson |
State: | NV US |
Postal Code: | 890741347 |
Phone Number: | 7022634925 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2009 |
NPI Last Update Date: | 07/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | B01276 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |