Little River Medical Group

NPI #1699179465 in Temple, Texas

Provider Information

NPI Number: 1699179465
Entity Type: Organization
Organization Name: Little River Medical Group
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Oct 22, 2014
Last Updated: Oct 22, 2014

Practice Location

Address: 1905 SW H K DODGEN LOOP
City: Temple
State: Texas
ZIP Code: 76502-1814
Phone: (254) 298-2400

Authorized Official

Name: JEFFREY P MADISON
Title: CEO
Phone: (512) 446-4500

Specialties & Taxonomy Codes

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

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