MEDICARE: MED-SHOP OF HUGHES SPRINGS 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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	15478	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2100061	OTHER		PK

General Provider Information

NPI Number	:	1144231630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED-SHOP OF HUGHES SPRINGS INC

Provider Business Mailing Address
First Line	:	PO BOX 279
Second Line	:
City	:	HUGHES SPRINGS
State	:	TX
Zip	:	75656-0279
Country	:	US
Telephone Number	:	903-639-3508
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 E 2ND
Second Line	:
City	:	HUGHES SPRINGS
State	:	TX
Zip	:	75656-2596
Country	:	US
Telephone Number	:	903-639-3508
Fax Number	:	903-639-7187

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GEORGE TEEL
Credential	:
Telephone Number	:	903-639-3508

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	05/01/2025

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