| |
9401 Lbj Fwy Ste 320, Dallas, TX 75243-4546 | |
(214) 369-3969 | |
(214) 369-6259 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 9401 Lbj Fwy Ste 320, Dallas, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790316297 | NPI | - | NPPES |
7736730029 | 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 |
---|---|
8135 Forest Ln # 515057, Dallas, TX 75230-2472 Ph: (469) 850-5760 | 9401 Lbj Fwy Ste 320, Dallas, TX 75243-4546 Ph: (214) 369-3969 |