Mr. Malcolm Randall Quattlebaum
Mr. Malcolm Randall Quattlebaum is a Durable Medical Equipment & Medical Supplies in Athens, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2007
Practice location Address checks out
3090 Fm 317Athens, TX 75752-5796
Phone: (903) 675-5900
Fax: (903) 675-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 0079342 (TX) |
|---|
Record details
| NPI number | 1255456661 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 21, 2007 |
| Last updated in NPPES | January 20, 2009 |
| Mailing address | 3090 Fm 317, Athens, TX 75752-5796 |
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