Provider Demographics
NPI:1417090739
Name:MONTE J KING
Entity Type:Organization
Organization Name:MONTE J KING
Other - Org Name:MED-LINK SALES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONTE
Authorized Official - Middle Name:J
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-785-9433
Mailing Address - Street 1:7322 19TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-4302
Mailing Address - Country:US
Mailing Address - Phone:806-785-9433
Mailing Address - Fax:806-785-9517
Practice Address - Street 1:7322 19TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-4302
Practice Address - Country:US
Practice Address - Phone:806-785-9433
Practice Address - Fax:806-785-9517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0046399332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
3939030001Medicare ID - Type Unspecified