Brady Medical Supply
Durable Medical Equipment & Medical Supplies in Durant, OK. Organization (NPI-2).
NPI number1861204604
StatusActive
Last updated in NPPESJan 20, 2025
Details
- NPI
- 1861204604
- Entity type
- Organization (NPI-2)
- Legal business name
- Brady Medical Supply
- Organization subpart
- No
- Enumeration date
- Jan 20, 2025
- Certification date
- Jan 20, 2025
- Last updated
- Jan 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
400 W Main St Unit DDurant, OK 74701-5000
Phone 903-744-9053 · Fax 940-427-7189
Mailing address
400 W Main St Unit DDurant, OK 74701-5000
Phone 903-744-9053 · Fax 940-427-7189
Authorized official
Jeffrey Proctor
Owner
9037449053
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