MEDICARE: ABLE MEDICAL PRODUCTS, 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	503769	OTHER	TX	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1427096163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLE MEDICAL PRODUCTS, INC

Provider Business Mailing Address
First Line	:	107 W 20TH ST
Second Line	:
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-2323
Country	:	US
Telephone Number	:	903-572-9853
Fax Number	:	903-572-9846

Provider Business Practice Location Address
First Line	:	107 W 20TH ST
Second Line	:
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-2323
Country	:	US
Telephone Number	:	903-572-9853
Fax Number	:	903-572-9846

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LOIS JEANETTE COUCH
Credential	:
Telephone Number	:	903-572-9853

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	08/22/2020

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Directions to “ABLE MEDICAL PRODUCTS, INC ” Practice Location

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