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Organization
BROAD EXPRESS, INCORPORATED
Active
Organization
BROAD EXPRESS, INCORPORATED
Active
Other names
BROAD EXPRESS MEDICAL SUPPLY AND EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BABATUNDE JOSEPH ADEBIYI (PRESIDENT)
(972) 264-4448
Entity
Organization
Contact information
Practice address
2604 W MARSHALL DR, SUITE 104, GRAND PRAIRIE, TX 75051-3555
(972) 264-4448
(972) 642-7886
Mailing address
2604 W MARSHALL DR, SUITE 104, GRAND PRAIRIE, TX 75051-3555
(972) 264-4448
(972) 642-7886
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0092486
TX
Other
Enumeration date
02/13/2007
Last updated
02/04/2011
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