Healthcare Provider Details

I. General information

NPI: 1184956344
Provider Name (Legal Business Name): TEXAS DURABLE MEDICAL EQUIPMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 02/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2298 N VETERANS BLVD SUITE 1
EAGLE PASS TX
78852-4160
US

IV. Provider business mailing address

113 S COMMERCE ST
DILLEY TX
78017-3501
US

V. Phone/Fax

Practice location:
  • Phone: 830-757-5800
  • Fax: 830-757-5801
Mailing address:
  • Phone: 830-965-4900
  • Fax: 830-965-4911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number332B00000X
License Number StateTX

VIII. Authorized Official

Name: MR. HARVEY E COURSER
Title or Position: OWNER
Credential: C PED
Phone: 830-965-4900