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NPI Code Detail

MEDICARE: MED FRONT

MEDICARE: MED FRONT
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 : 1528267135
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED FRONT
Provider Business Mailing Address
First Line : 5420 VANCOUVER ST
Second Line :
City : EL PASO
State : TX
Zip : 79924-4019
Country : US
Telephone Number : 915-926-0540
Fax Number : 915-755-9683
Provider Business Practice Location Address
First Line : 5420 VANCOUVER ST
Second Line :
City : EL PASO
State : TX
Zip : 79924-4019
Country : US
Telephone Number : 915-926-0540
Fax Number : 915-755-9683
Authorized Official
Title or Position : CFO/TREASURER
Name : EDWARD W WELCH
Credential :
Telephone Number : 915-926-0540
Provider Enumeration Date : 07/13/2007
Last Update Date : 07/13/2007

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Directions to “MED FRONT ” Practice Location

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