Provider Demographics
NPI:1831496827
Name:MEDICAL EQUIPMENT DISTRIBUTORS II LP
Entity Type:Organization
Organization Name:MEDICAL EQUIPMENT DISTRIBUTORS II LP
Other - Org Name:THE MED GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VICE PRESIDENT & GENERAL MAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-825-5633
Mailing Address - Street 1:3223 S LOOP 289
Mailing Address - Street 2:SUITE 600
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1337
Mailing Address - Country:US
Mailing Address - Phone:800-825-5633
Mailing Address - Fax:806-792-4499
Practice Address - Street 1:3300 82ND ST
Practice Address - Street 2:SUITE F
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2045
Practice Address - Country:US
Practice Address - Phone:806-797-5280
Practice Address - Fax:806-797-5290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies