# CRYSTAL DME

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

## Provider details

- **NPI number:** 1538314554
- **Authorized official:** OLIVIA LOCASCIO (OWNER)
- **Authorized official phone:** (214) 943-7799

## Contact information

- **Practice address:** 433 W 12TH ST, DALLAS, TX 75208-6507
- **Practice address phone:** (214) 206-6970
- **Practice address fax:** (214) 946-6923
- **Mailing address:** 433 W 12TH ST, DALLAS, TX 75208-6507
- **Mailing address phone:** (214) 206-6970
- **Mailing address fax:** (214) 946-6923

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2008
- **Last updated:** 03/23/2009