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Organization
AMERICAN GENERAL MERCHANTS INC.
Active
Organization
AMERICAN GENERAL MERCHANTS INC.
Active
Other names
AMERICAN GENERAL MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IDRIS ELIJA SALIA (PRESIDENT)
(214) 415-5554
Entity
Organization
Contact information
Practice address
3213 INTERSTATE 30 STE 108, MESQUITE, TX 75150-2603
(972) 270-0500
(972) 674-2944
Mailing address
3213 INTERSTATE 30 STE 108, MESQUITE, TX 75150-2603
(972) 270-0500
(972) 674-2944
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
332BD1200X
Dialysis Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
10/23/2017
Last updated
04/22/2020
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