# CRESTCARE MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1063256246
- **Authorized official:** FNU ARSHAD MOHAMMED (DIRECTOR)
- **Authorized official phone:** (214) 468-4667

## Contact information

- **Practice address:** 9304 FOREST LN STE S236, DALLAS, TX 75243-6238
- **Practice address phone:** (214) 468-4667
- **Mailing address:** 9304 FOREST LN STE S236, DALLAS, TX 75243-6238
- **Mailing address phone:** (144) 684-6672

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2024
- **Last updated:** 07/29/2025