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NPI Code Detail

MEDICARE: MEALTIME PARTNERS, INC.

MEDICARE: MEALTIME PARTNERS, INC.
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1093906661
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEALTIME PARTNERS, INC.
Provider Business Mailing Address
First Line : 1137 SOUTHEAST PKWY
Second Line :
City : AZLE
State : TX
Zip : 76020-3803
Country : US
Telephone Number : 817-237-9991
Fax Number : 817-237-0102
Provider Business Practice Location Address
First Line : 1137 SOUTHEAST PKWY
Second Line :
City : AZLE
State : TX
Zip : 76020-3803
Country : US
Telephone Number : 817-237-9991
Fax Number : 817-237-0102
Authorized Official
Title or Position : VICE PRESIDENT
Name : MS. CATHERINE WYATT
Credential :
Telephone Number : 817-237-9991
Provider Enumeration Date : 08/07/2007
Last Update Date : 08/07/2007

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Directions to “MEALTIME PARTNERS, INC. ” Practice Location

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