Healthcare Provider Details

I. General information

NPI: 1386683779
Provider Name (Legal Business Name): PARIS MEDICAL SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2502 W MAIN ST
CLARKSVILLE TX
75426-3319
US

IV. Provider business mailing address

2502 W MAIN ST
CLARKSVILLE TX
75426-3319
US

V. Phone/Fax

Practice location:
  • Phone: 903-427-5154
  • Fax: 903-427-5855
Mailing address:
  • Phone: 903-427-5154
  • Fax: 903-427-5855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0035544
License Number StateTX

VIII. Authorized Official

Name: MR. RAYMOND G NIXON
Title or Position: PRESIDENT
Credential:
Phone: 903-785-6615