Healthcare Provider Details

I. General information

NPI: 1124037031
Provider Name (Legal Business Name): IZZY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 N SHELBY ST
CARTHAGE TX
75633
US

IV. Provider business mailing address

106 N SHELBY ST
CARTHAGE TX
75633
US

V. Phone/Fax

Practice location:
  • Phone: 903-693-2923
  • Fax: 903-693-3931
Mailing address:
  • Phone: 903-693-2923
  • Fax: 903-693-3931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. KATHY DELL ISBELL
Title or Position: SECRETARY
Credential: SECRETARY
Phone: 903-693-2923