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GENOA HEALTHCARE, LLC

Medical Equipment Supplier Yellow Pages

Tyler, Texas

Provider NPI: 1588730493

Organization Information:
Organization Name:  GENOA HEALTHCARE, LLC


Practice Location:
2323 W FRONT ST  TYLER, TX 75702 US
Tel: 903-595-3100  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336L0003XSuppliers
Pharmacy
Long Term Care Pharmacy
TX28584

Other Provider Identifiers:

IssuerNumberStateType
PK209960501
351045TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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