Nickes Medical Supply, LLC

NPI #1477006054 in Van Horn, Texas

Provider Information

NPI Number: 1477006054
Entity Type: Organization
Organization Name: Nickes Medical Supply, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: NICKES MEDICAL SUPPLY, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Jul 29, 2016
Last Updated: Sep 2, 2016

Practice Location

Address: 215 EAST BROADWAY
City: Van Horn
State: Texas
ZIP Code: 79855
Phone: (432) 283-1000

Authorized Official

Name: NGOZI AUSTIN-ELEJE
Title: MANAGER
Phone: (915) 633-3724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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