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Organization
SHALEM MEDICAL SUPPLIES
Active
Organization
SHALEM MEDICAL SUPPLIES
Active
Parent organization
SHALEM MEDICAL SUPPLIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHALEM MEDICAL SUPPLIES
Authorized official
MR. JOHNSON GEORGE (DIRECTOR-1)
(972) 222-9263
Entity
Organization
Contact information
Practice address
707 NORTH FWY, SUITE 120, FORT WORTH, TX 76102-1702
(817) 698-9797
(817) 887-2305
Mailing address
PO BOX 850436, MESQUITE, TX 75185-0436
(817) 698-9797
(817) 887-2305
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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