Provider Demographics
NPI:1720176928
Name:VANN ALEXANDER HOME MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:VANN ALEXANDER HOME MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-281-9181
Mailing Address - Street 1:5313 50TH STREET
Mailing Address - Street 2:SUITE D-5
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414
Mailing Address - Country:US
Mailing Address - Phone:806-281-9181
Mailing Address - Fax:806-281-9176
Practice Address - Street 1:5313 50TH STREET
Practice Address - Street 2:SUITE D-5
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414
Practice Address - Country:US
Practice Address - Phone:806-281-9181
Practice Address - Fax:806-281-9176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX530851OtherBCBS
NMA9385Medicaid
TX1317680001Medicare ID - Type Unspecified