Provider Demographics
NPI:1427103688
Name:ARTEX MEDICAL, INC.
Entity type:Organization
Organization Name:ARTEX MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-793-0416
Mailing Address - Street 1:PO BOX 5548
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75505-5548
Mailing Address - Country:US
Mailing Address - Phone:903-793-0416
Mailing Address - Fax:903-791-8665
Practice Address - Street 1:3101 KENNEDY LN
Practice Address - Street 2:SUITE 1000
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2457
Practice Address - Country:US
Practice Address - Phone:903-793-0416
Practice Address - Fax:903-791-8665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR137030716Medicaid
LA1694452Medicaid
OK100815060Medicaid
TX111325002Medicaid
AR97822OtherAR BCBS DME NUMBER
AR4A046OtherAR BCBS HIT NUMBER
LA1268101Medicaid
TX750846OtherTX BCBS HIT NUMBER
TX017151401Medicaid
TX350139Medicaid
AR138761407Medicaid
4509886OtherNCPDP PHARMACY NUMBER
TX530597OtherTX BCBS DME NUMBER
AR97822OtherAR BCBS DME NUMBER