Tricare Medical Equipment

Organization Active NPI Oxygen Equipment & Supplies (DME) · Lamesa, TX

NPI 1447423124 · NPPES record last updated Feb 24, 2010

Key facts

NPI
1447423124
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
Legal business name
TRICARE MEDICAL EQUIPMENT
Practice address
1500 N Bryan Ave
Lamesa, TX 79331-3143
Phone
(806) 872-3837
Fax
(806) 872-7457
NPI assigned
Apr 2, 2008
Organization subpart
No

Authorized official

Name
Wanda Lawless
Title
Officer/Owner
Phone
(806) 894-0144

National Provider Directory

Locations

1500 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-3837

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Yes

Addresses

Primary practice location

1500 N Bryan Ave
Lamesa, TX 79331-3143

Mailing address

PO Box 476
Levelland, TX 79336-0476
Phone (806) 894-0144

Other identifiers

IdentifierTypeStateIssuer
015824802MedicaidTX
015824803MedicaidTX

Other providers in Lamesa, TX

All providers in Lamesa, TX · Oxygen Equipment & Supplies (DME) in Texas

Sources for this page

Verify at the official NPI Registry.