Johnnie Lee Nora Comstock

Individual provider Active NPI Durable Medical Equipment & Medical Supplies · San Angelo, TX

NPI 1043369036 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043369036
Entity type
Individual (NPI type 1)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Practice address
313 Burlington Rd
San Angelo, TX 76901-5208
Phone
(325) 944-0962
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

313 Burlington Rd
San Angelo, TX 76901-5208

Mailing address

313 Burlington Rd
San Angelo, TX 76901-5208
Phone (325) 944-0962

Other providers in San Angelo, TX

All providers in San Angelo, TX · Durable Medical Equipment & Medical Supplies in Texas

Sources for this page

Verify at the official NPI Registry.