Provider Demographics
NPI:1528267135
Name:MED FRONT
Entity type:Organization
Organization Name:MED FRONT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-926-0540
Mailing Address - Street 1:5420 VANCOUVER ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-4019
Mailing Address - Country:US
Mailing Address - Phone:915-926-0540
Mailing Address - Fax:915-755-9683
Practice Address - Street 1:5420 VANCOUVER ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-4019
Practice Address - Country:US
Practice Address - Phone:915-926-0540
Practice Address - Fax:915-755-9683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies