MEDICARE: RELIANCE MEDICAL, 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)	0037151	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

General Provider Information

NPI Number	:	1568404077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIANCE MEDICAL, INC

Provider Business Mailing Address
First Line	:	149 N WILLIS ST
Second Line	:	SUITE 1
City	:	ABILENE
State	:	TX
Zip	:	79603-6991
Country	:	US
Telephone Number	:	325-692-7443
Fax Number	:	325-692-3566

Provider Business Practice Location Address
First Line	:	400 NORTH ERMA AVE
Second Line	:
City	:	PRESIDIO
State	:	TX
Zip	:	79845-0748
Country	:	US
Telephone Number	:	432-229-3828
Fax Number	:	432-229-4526

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	CAROLINA OGANYAN
Credential	:
Telephone Number	:	972-346-1813

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	12/11/2023

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Directions to “RELIANCE MEDICAL, INC ” Practice Location

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