# WALDREP MEDICAL

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

## Provider details

- **NPI number:** 1215190392
- **Authorized official:** MR. DAVID JAMES PRINCE JR. (OWNER)
- **Authorized official phone:** (972) 203-3030

## Contact information

- **Practice address:** 330 OAKS TRL, SUITE 108, GARLAND, TX 75043-4083
- **Practice address phone:** (972) 203-3030
- **Practice address fax:** (972) 203-5566
- **Mailing address:** 330 OAKS TRL, SUITE 108, GARLAND, TX 75043-4083
- **Mailing address phone:** (972) 203-3030
- **Mailing address fax:** (972) 203-5566

## Taxonomy

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

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 07/08/2008