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Organization
ATLAS MEDICAL SUPPLY LLC
Active
Organization
ATLAS MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INFANT CORONADO (OWNER)
(469) 758-0055
Entity
Organization
Contact information
Practice address
2640 OLD DENTON RD STE 240, CARROLLTON, TX 75007-5453
(469) 758-0055
Mailing address
2640 OLD DENTON RD STE 240, CARROLLTON, TX 75007-5453
(469) 758-0055
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/09/2025
Last updated
06/22/2026
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