# SUPLLIES MED LLC

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

## Provider details

- **NPI number:** 1407695364
- **Authorized official:** MISBAH KISHWAR (OWNER)
- **Authorized official phone:** (940) 843-3908

## Contact information

- **Practice address:** 130 N PRESTON RD STE 337, PROSPER, TX 75078-3192
- **Practice address phone:** (940) 843-3908
- **Mailing address:** 130 N PRESTON RD STE 337, PROSPER, TX 75078-3192
- **Mailing address phone:** (940) 843-3908

## Taxonomy

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

## Other

- **Enumeration date:** 05/21/2024
- **Last updated:** 05/21/2024