Individual provider · Type 1 NPI
Malcolm Randall Quattlebaum
Durable Medical Equipment & Medical Supplies · Athens, TX
NPI number
1255456661
Active
Practice location
3090 FM 317
Athens, TX 75752-5796
Fax (903) 675-5900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 0079342 (TX) |
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.
About NPI 1255456661
Malcolm Randall Quattlebaum's National Provider Identifier is 1255456661, issued on Mar 21, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Athens, TX. The record was last updated on Jan 20, 2009.