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MR. MALCOLM RANDALL QUATTLEBAUM
NPI 1255456661
Durable Medical Equipment & Medical Supplies in Athens, TX

Active since March 21, 2007
3090 FM 317, ATHENS, TX 75752(903) 675-5900(903) 675-5900 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Malcolm Randall Quattlebaum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MALCOLM RANDALL QUATTLEBAUM (NPI 1255456661) is an individual durable medical equipment & medical supplies provider in Athens, Texas, licensed in Texas (0079342) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1255456661
Entity TypeIndividualMale
Primary Taxonomy332B00000X
Provider Legal NameMR. MALCOLM RANDALL QUATTLEBAUM
Location Address3090 FM 317Athens, TX 75752-5796
Mailing Address3090 Fm 317Athens, TX 75752-5796 · (903) 675-5900 · Fax (903) 675-5900
Phone(903) 675-5900
Fax(903) 675-5900
Sole ProprietorYes
Enumeration DateMarch 21, 2007
Last NPPES UpdateJanuary 20, 2009
✔ NPI 1255456661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in TX · 0079342
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.

3090 FM 317, Athens, TX 75752
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Other Identifiers 2

Medicare NSC0571210001TX
Other507686TX · Blue Cross Blue Shield

Frequently Asked Questions

What is Malcolm Quattlebaum's NPI number?

The NPI number assigned to this healthcare provider is 1255456661, enumerated as an "individual" on March 21, 2007.

Where is the provider located?

The provider is located at 3090 FM 317 ATHENS, TX 75752 and the phone number is (903) 675-5900.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Malcolm Quattlebaum accept?

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.