# DME SUPPLY COMPANY LLC

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

## Provider details

- **NPI number:** 1255960068
- **Authorized official:** DR. MICHAEL ANDERSON DC (PRESIDENT)
- **Authorized official phone:** (214) 460-0644

## Contact information

- **Practice address:** 517 N CARRIER PKWY, GRAND PRAIRIE, TX 75050-5484
- **Practice address phone:** (214) 460-0644
- **Practice address fax:** (972) 642-5183
- **Mailing address:** 4401 SAINT ANDREWS BLVD, IRVING, TX 75038-6443

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2020
- **Last updated:** 04/03/2020
