Organization Name: | RELIANT MEDGROUP, INC. |
NPI Number: | 1902145709 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFF LIGHTFOOT (CONSULTANT) |
Mailing Address: | 526 E Hwy 120 Ste. 6 Pottsboro |
State: | TX US |
Postal Code: | 750763574 |
Phone Number: | 9037710066 |
Fax Number: | 8887905509 |
NPI Enumeration Date: | 02/14/2013 |
NPI Last Update Date: | 02/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |