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Organization
THE FIRST SOURCE DME LLC
Active
Organization
THE FIRST SOURCE DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARVIS MCKINNEY (OWNER)
(929) 494-1034
Entity
Organization
Contact information
Practice address
4200 NORTHERN CROSS BLVD APT 7205, HALTOM CITY, TX 76137-6434
(929) 494-1034
Mailing address
4200 NORTHERN CROSS BLVD APT 7205, HALTOM CITY, TX 76137-6434
(929) 494-1034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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