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Mr. Malcolm Randall Quattlebaum
Durable Medical Equipment & Medical Supplies in Athens, Texas
NPI 1255456661

Malcolm Randall Quattlebaum is a Durable Medical Equipment & Medical Supplies based in Athens, TX. Malcolm Randall Quattlebaum practices in Athens, TX. The NPI Number for Malcolm Randall Quattlebaum is 1255456661 and holds a License No. 0079342 (Texas).

The current practice location address for Malcolm Randall Quattlebaum is 3090 Fm 317, Athens, TX and can be reached out via phone at 903-675-5900 and via fax at 903-675-5900.

Location: 3090 Fm 317, Athens, TX, 75752-5796
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255456661
Provider Name
Malcolm Randall Quattlebaum
Credential
Provider Entity Type
Individual
Gender
Male
Address
3090 Fm 317, Athens, TX, 75752-5796
Phone Number
903-675-5900
Fax Number
903-675-5900
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
507686 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3090 Fm 317
City
Athens
State
Texas
Zip
75752-5796
Phone Number
903-675-5900
Fax Number
903-675-5900
person
Provider Business Mailing Address Details
Address
3090 Fm 317
City
Athens
State
Texas
Zip
75752-5796
Phone Number
903-675-5900
Fax Number
903-675-5900
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
0079342 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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