# DAVENPORT DME

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

## Provider details

- **NPI number:** 1255700068
- **Authorized official:** CAROL SUE DAVENPORT (OWNER/ FITTER)
- **Authorized official phone:** (214) 914-4135

## Contact information

- **Practice address:** 5750 BUSINESS 78, NEVADA, TX 75173-8026
- **Practice address phone:** (214) 914-4135
- **Mailing address:** 5750 BUSINESS 78, NEVADA, TX 75173-8026
- **Mailing address phone:** (214) 914-4135

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2015
- **Last updated:** 09/22/2015