Healthcare Provider Details
I. General information
NPI: 1447289509
Provider Name (Legal Business Name): HOWELL HOME MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2006
Last Update Date: 06/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
735 WEST MAIN STREET
GUN BARREL CITY TX
75156
US
IV. Provider business mailing address
PO BOX 476
MABANK TX
75147-0476
US
V. Phone/Fax
- Phone: 903-887-5533
- Fax: 903-887-5556
- Phone: 903-887-5533
- Fax: 903-887-5556
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
PRICE
JIMMIE
HOWELL
SR.
Title or Position: PRESIDENT
Credential: DME SUPPLIER
Phone: 903-887-5533