T.H.a.T. Lab Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Whitney, TX

NPI 1629065362 · NPPES record last updated Mar 8, 2011

Key facts

NPI
1629065362
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
0065650 (TX)
Legal business name
T.H.A.T. LAB INC.
Practice address
2385 State Highway 22
Whitney, TX 76692-3573
Phone
(254) 694-3515
Fax
(254) 694-3585
NPI assigned
Sep 27, 2005
Organization subpart
No

Authorized official

Name
Kenneth Ferrier, RPH
Title
Owner
Phone
(254) 694-3515

National Provider Directory

Locations

2385 State Highway 22
Whitney, TX 76692
Phone (254) 694-3515

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0065650 TX Yes

Addresses

Primary practice location

2385 State Highway 22
Whitney, TX 76692-3573

Mailing address

2385 Hwy 22
Whitney, TX 76692
Phone (254) 694-3515

Other identifiers

IdentifierTypeStateIssuer
16937902MedicaidTX

Other providers in Whitney, TX

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

Sources for this page

Verify at the official NPI Registry.