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Organization
EZMED
Active
Organization
EZMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WAYNE WELCH (OWNER/PRESIDENT)
(817) 366-3564
Entity
Organization
Contact information
Practice address
3138 SOUTHLAKE PARK RD, SOUTHLAKE, TX 76092-2500
(817) 366-3564
Mailing address
3138 SOUTHLAKE PARK RD, SOUTHLAKE, TX 76092-2500
(817) 366-3564
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/28/2014
Last updated
12/21/2015
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