Individual provider · Type 1 NPI
Michael Joe Gentry, LVN
Durable Medical Equipment & Medical Supplies · Longview, TX
Practice location
5899 Hwy 80 East, Building A Suite 3
Longview, TX 75605
Fax (903) 660-5131
Mailing address
133 Saddle Brook Cir
Hallsville, TX 75650-7722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 1003219 (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.
Another provider at this address
Other durable medical equipment & medical supplies providers in Longview
About NPI 1639856636
Michael Joe Gentry, LVN's National Provider Identifier is 1639856636, issued on Jun 30, 2023. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Longview, TX. The record was last updated on Sep 21, 2023.