| |
450 N Standridge Blvd Ste 202, Anna, TX 75409-3424 | |
(972) 905-3919 | |
(903) 463-7711 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 450 N Standridge Blvd Ste 202, Anna, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497386999 | NPI | - | NPPES |
7736730030 | Other | TX | NSC DME SUPPLIER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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8135 Forest Ln # 515057, Dallas, TX 75230-2472 Ph: (469) 850-5760 | 450 N Standridge Blvd Ste 202, Anna, TX 75409-3424 Ph: (972) 905-3919 |