MEDICARE: NEB PROS & MORE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1053655605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEB PROS & MORE, LLC

Provider Business Mailing Address
First Line	:	5840 S MEMORIAL DR STE 333
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74145-9060
Country	:	US
Telephone Number	:	918-520-5460
Fax Number	:	800-572-9536

Provider Business Practice Location Address
First Line	:	5840 S MEMORIAL DR STE 333
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74145-9060
Country	:	US
Telephone Number	:	918-520-5460
Fax Number	:	800-572-9536

Authorized Official
Title or Position	:	CFO
Name	:	PHILLIP A COOK
Credential	:
Telephone Number	:	918-520-5460

Provider Enumeration Date	:	11/20/2012
Last Update Date	:	11/20/2012

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Directions to “NEB PROS & MORE, LLC ” Practice Location

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