Organization Name: | AFFINITY DISTRIBUTION, INC. |
NPI Number: | 1972544104 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AUBREY HINES (CEO) |
Mailing Address: | 6207 19th St Lubbock |
State: | TX US |
Postal Code: | 794071401 |
Phone Number: | 8067710335 |
Fax Number: | 8062090111 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 10/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0079200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |