| |
1001 Matlock Rd Ste 103, Mansfield, TX 76063-3443 | |
(817) 467-1990 | |
(817) 466-8737 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 1001 Matlock Rd Ste 103, Mansfield, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518522804 | NPI | - | NPPES |
7736730021 | Other | TX | NSC DME SUPPLIER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (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 | 1001 Matlock Rd Ste 103, Mansfield, TX 76063-3443 Ph: (817) 467-1990 |