| |
6800 Heritage Pkwy Ste 104, Rockwall, TX 75087-8746 | |
(972) 288-7441 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 6800 Heritage Pkwy Ste 104, Rockwall, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194424796 | NPI | - | NPPES |
7736730052 | Other | 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: () - | 6800 Heritage Pkwy Ste 104, Rockwall, TX 75087-8746 Ph: (972) 288-7441 |