# AVB MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1073340279
- **Authorized official:** TADRA NICOLE BARNES (PRESIDENT)
- **Authorized official phone:** (469) 472-9200

## Contact information

- **Practice address:** 2300 VALLEY VIEW LN STE 506, IRVING, TX 75062-1838
- **Practice address phone:** (469) 472-9200
- **Mailing address:** 2300 VALLEY VIEW LN STE 506, IRVING, TX 75062-1838
- **Mailing address phone:** (469) 472-9200
- **Mailing address fax:** (469) 472-9201

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2024
- **Last updated:** 09/08/2025