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Organization
SPORTZ MED DME
Active
Organization
SPORTZ MED DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL COLE (CHIEF OPPERATING OFFICER)
(214) 535-1698
Entity
Organization
Contact information
Practice address
112 MAHONIA DR, WYLIE, TX 75098-8516
(214) 535-1698
Mailing address
PO BOX 595, WYLIE, TX 75098-0595
(214) 535-1698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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