Provider Demographics
NPI:1013320043
Name:TWO CIRCLE, INC
Entity Type:Organization
Organization Name:TWO CIRCLE, INC
Other - Org Name:TWO CIRCLE MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:COURTAWAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:817-371-1099
Mailing Address - Street 1:PO BOX 211
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-0211
Mailing Address - Country:US
Mailing Address - Phone:817-371-1099
Mailing Address - Fax:682-841-2943
Practice Address - Street 1:4004 MEDICAL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-7854
Practice Address - Country:US
Practice Address - Phone:817-371-1099
Practice Address - Fax:682-841-2943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies