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Organization
CROSS WAY MEDIQUIP
Active
Organization
CROSS WAY MEDIQUIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAYRA REYNA (OWNER/OPERATOR)
(817) 240-9208
Entity
Organization
Contact information
Practice address
3102 KINMORE ST., DALLAS, TX 75223
(817) 240-9208
Mailing address
P.O. BOX 630857, IRVING, TX 75063
(817) 240-9208
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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