MEDICARE: PARIS MEDICAL SUPPLY, 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	332BX2000X	Oxygen Equipment & Supplies (DME)	0035544	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386683779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARIS MEDICAL SUPPLY, INC.

Provider Business Mailing Address
First Line	:	2502 W MAIN ST
Second Line	:
City	:	CLARKSVILLE
State	:	TX
Zip	:	75426-3319
Country	:	US
Telephone Number	:	903-427-5154
Fax Number	:	903-427-5855

Provider Business Practice Location Address
First Line	:	2502 W MAIN ST
Second Line	:
City	:	CLARKSVILLE
State	:	TX
Zip	:	75426-3319
Country	:	US
Telephone Number	:	903-427-5154
Fax Number	:	903-427-5855

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RAYMOND G NIXON
Credential	:
Telephone Number	:	903-785-6615

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	02/29/2008

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Directions to “PARIS MEDICAL SUPPLY, INC. ” Practice Location

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