# EVERGREEN DME LLC

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

## Provider details

- **NPI number:** 1497552046
- **Authorized official:** ERIC DELFIN CAMPANA (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (214) 434-1575

## Contact information

- **Practice address:** 4101 MCEWEN RD STE 437, DALLAS, TX 75244-5237
- **Practice address phone:** (214) 434-1575
- **Mailing address:** 4101 MCEWEN RD STE 437, DALLAS, TX 75244-5237

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2025
- **Last updated:** 08/08/2025
