# CADET MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1144216896
- **Authorized official:** DANIEL MCKINLEY YANCY (OWNER)
- **Authorized official phone:** (817) 726-3910

## Contact information

- **Practice address:** 700 W HARWOOD RD, SUITE E2, HURST, TX 76054-3358
- **Practice address phone:** (817) 656-2690
- **Practice address fax:** (888) 233-4816
- **Mailing address:** PO BOX 712, BEDFORD, TX 76095-0712
- **Mailing address phone:** (817) 656-2690
- **Mailing address fax:** (888) 233-4861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0077082 | TX | Yes |

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 08/22/2020