Wilson Durable Medical Equipment

NPI #1417221102 in Lucas, Texas

Provider Information

NPI Number: 1417221102
Entity Type: Organization
Organization Name: Wilson Durable Medical Equipment
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Feb 28, 2012
Last Updated: Feb 28, 2012

Practice Location

Address: 2806 JESSICA LANE
City: Lucas
State: Texas
ZIP Code: 75002
Phone: (469) 323-5474

Authorized Official

Name: MICHELLE ELLEN WILSON
Title: OWNER
Phone: (469) 323-5474

Specialties & Taxonomy Codes

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

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