Provider Demographics
NPI:1518402478
Name:WEST TEXAS MEDICAL SUPPLY
Entity Type:Organization
Organization Name:WEST TEXAS MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-240-5334
Mailing Address - Street 1:501 W 6TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-4926
Mailing Address - Country:US
Mailing Address - Phone:512-240-5334
Mailing Address - Fax:512-240-5335
Practice Address - Street 1:501 W 6TH ST STE 101
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-4926
Practice Address - Country:US
Practice Address - Phone:512-240-5334
Practice Address - Fax:512-240-5335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001377332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies