Vintage Medical, LLC

NPI #1356899025 in Southlake, Texas

Provider Information

NPI Number: 1356899025
Entity Type: Organization
Organization Name: Vintage Medical, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Sep 12, 2016
Last Updated: Sep 12, 2016

Practice Location

Address: 251 E SOUTHLAKE BLVD STE 150
City: Southlake
State: Texas
ZIP Code: 76092-6276
Phone: (817) 424-0971

Authorized Official

Name: MR. JEFF KROPHOLLER
Title: OWNER
Phone: (254) 221-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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