# DESTINY MEDICAL SUPPLIES INC.,

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

## Provider details

- **NPI number:** 1366448797
- **Authorized official:** MR. CHRISTOPHER PAUL BASSEY (CEO)
- **Authorized official phone:** (817) 534-2770

## Contact information

- **Practice address:** 4735 E LANCASTER AVE, FORT WORTH, TX 76103-3835
- **Practice address phone:** (817) 534-2770
- **Practice address fax:** (817) 534-2977
- **Mailing address:** PO BOX 51088, FORT WORTH, TX 76105-8088
- **Mailing address phone:** (817) 534-2770
- **Mailing address fax:** (817) 534-2977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0055999 | TX | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 08/22/2020