Organization · Type 2 NPI

Provisionam

Durable Medical Equipment & Medical Supplies · Beaumont, TX

NPI number 1235697426 Active

Practice location

3819 Phelan Blvd
Beaumont, TX 77707-2243

Call (409) 363-5022 Map

Fax (409) 363-5015

Mailing address

2280 Sunflower St
Beaumont, TX 77713-9214

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1235697426

Provisionam's National Provider Identifier is 1235697426, issued on Mar 6, 2019. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Beaumont, TX. The record was last updated on Mar 6, 2019.