Medsource Midwest, LLC

NPI #1790093466 in Magnolia, Texas

Provider Information

NPI Number
1790093466
Entity Type
Organization
Organization Name
Medsource Midwest, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 15, 2010
Last Updated
Aug 16, 2011

Practice Location

Address
71 S ALMONDELL CIR
State
Texas
ZIP Code
77354-3373
Phone
(832) 334-3773

Authorized Official

Name
MR. DAVID WAGENSELLER
Title
OWNER
Phone
(832) 334-3773

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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