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Organization
SOUTHERN MEDICAL SUPPLIES
Active
Organization
SOUTHERN MEDICAL SUPPLIES
Active
Other names
Southern DME
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WILLA (MANAGER)
(713) 568-7775
Entity
Organization
Contact information
Practice address
13426 N HIGHWAY 75 STE 3, WILLIS, TX 77378-1007
(713) 568-7775
Mailing address
PO BOX 734129, DALLAS, TX 75373-4129
(713) 568-7775
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1002145
TX
Other
Enumeration date
05/30/2018
Last updated
10/21/2024
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