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General NPI Number Information
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NPI Number | 1871202119
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Entity Type | Organization
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Legal Business Name | TEXAS DME SUPPLY LLC
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 168 COL. ETHEREDGE BLVD SUITE D UNIT E
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City | HUNTSVILLE
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State | TX
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Zip | 77340
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Country | US
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Telephone | 936-400-3582
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Fax | 936-400-3583
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Provider Business Mailing Address
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Address Line | 4747 RESEARCH FOREST DR # 180-292
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City | THE WOODLANDS
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State | TX
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Zip | 77381-4912
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Country | US
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Telephone | 936-400-3582
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Fax | 936-400-3583
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Authorized Official
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Title or Position | OWNER
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Name | MR. DARON CALHOUN
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Credential |
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Telephone | 936-400-3582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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