# PEDI MASTER INC

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

## Provider details

- **NPI number:** 1336513803
- **Authorized official:** LARRY D MERCER (OWNER)
- **Authorized official phone:** (817) 271-1393

## Contact information

- **Practice address:** 7637 BERMEJO RD, FORT WORTH, TX 76112-6107
- **Practice address phone:** (817) 271-1393
- **Mailing address:** 7637 BERMEJO RD, FORT WORTH, TX 76112-6107

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2015
- **Last updated:** 11/21/2015