# KONANIAH MEDICAL EQUIPMENT & SUPPLIES LLC

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

## Provider details

- **NPI number:** 1164891925
- **Authorized official:** MR. OLUWOLE O DAVIDS (OWNER)
- **Authorized official phone:** (469) 610-5006

## Contact information

- **Practice address:** 2304 OAK LANE, SUITE 207, GRAND PRAIRIE, TX 75051-8816
- **Practice address phone:** (469) 610-5006
- **Practice address fax:** (210) 941-0082
- **Mailing address:** 2304 OAK LANE, SUITE 207, GRAND PRAIRIE, TX 75051-8816
- **Mailing address phone:** (469) 610-5006
- **Mailing address fax:** (210) 941-0082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 802292943 | TX | Yes |

## Other

- **Enumeration date:** 09/22/2015
- **Last updated:** 04/26/2016