# BROAD EXPRESS, INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BROAD EXPRESS MEDICAL SUPPLY AND EQUIPMENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295877645
- **Authorized official:** MR. BABATUNDE JOSEPH ADEBIYI (PRESIDENT)
- **Authorized official phone:** (972) 264-4448

## Contact information

- **Practice address:** 2604 W MARSHALL DR, SUITE 104, GRAND PRAIRIE, TX 75051-3555
- **Practice address phone:** (972) 264-4448
- **Practice address fax:** (972) 642-7886
- **Mailing address:** 2604 W MARSHALL DR, SUITE 104, GRAND PRAIRIE, TX 75051-3555
- **Mailing address phone:** (972) 264-4448
- **Mailing address fax:** (972) 642-7886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0092486 | TX | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 02/04/2011