# CROSS WAY MEDIQUIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053697698
- **Authorized official:** MS. MAYRA REYNA (OWNER/OPERATOR)
- **Authorized official phone:** (817) 240-9208

## Contact information

- **Practice address:** 3102 KINMORE ST., DALLAS, TX 75223
- **Practice address phone:** (817) 240-9208
- **Mailing address:** P.O. BOX 630857, IRVING, TX 75063
- **Mailing address phone:** (817) 240-9208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2011
- **Last updated:** 10/27/2011