Fayette Medical Supply, Inc.

NPI #1295790061 in La Grange, Texas

Provider Information

NPI Number: 1295790061
Entity Type: Organization
Organization Name: Fayette Medical Supply, Inc.
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Apr 17, 2006
Last Updated: Oct 2, 2025

Practice Location

Address: 362 E TRAVIS ST
City: La Grange
State: Texas
ZIP Code: 78945-2619
Phone: (979) 968-6680

Authorized Official

Name: JONATHAN HERNANDEZ
Title: OPERATIONS MANAGER
Phone: (979) 968-6680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Rehabilitation Counselor - Assistive Technology Supplier — Assistive Technology Supplier	225CA2500X
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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