Organization Name: | ALICIA A POLLARD |
NPI Number: | 1992826630 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALICIA ANN POLLARD (OWNER) |
Mailing Address: | 404 21st St Canyon |
State: | TX US |
Postal Code: | 790154000 |
Phone Number: | 8066556100 |
Fax Number: | 8066556101 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 05/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0093345 |
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 |