Healthcare Provider Details

I. General information

NPI: 1306827175
Provider Name (Legal Business Name): JOSEPH R. STRONG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 01/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 N. CENTER ST.
BONHAM TX
75418-4332
US

IV. Provider business mailing address

318 N. CENTER ST.
BONHAM TX
75418-4332
US

V. Phone/Fax

Practice location:
  • Phone: 903-640-1900
  • Fax: 903-640-0778
Mailing address:
  • Phone: 903-640-1900
  • Fax: 903-640-0778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0064557
License Number StateTX

VIII. Authorized Official

Name: MR. JOSEPH ROBERT STRONG
Title or Position: OWNER
Credential:
Phone: 903-640-1900