Organization · NPI-2

Action Medsource, LLC

Durable Medical Equipment & Medical Supplies · Tyler, TX

NPI number1639355100
StatusActive
Last updated in NPPESJan 15, 2008

Details

NPI
1639355100
Entity type
Organization (NPI-2)
Legal business name
Action Medsource, LLC
Organization subpart
No
Enumeration date
Jan 15, 2008
Last updated
Jan 15, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

3810 Woods Blvd
Tyler, TX 75707-1677

Phone 903-530-4791

Mailing address

Po Box 131416
Tyler, TX 75713-1416

Phone 903-530-4791

Authorized official

Jason B Richards
President
9035304791

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Durable Medical Equipment & Medical Supplies providers in Tyler, TX