# METROMED MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Metroplex Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578700233
- **Authorized official:** JESSIE M. BROWN (PRESIDENT)
- **Authorized official phone:** (972) 434-2005

## Contact information

- **Practice address:** 560 W MAIN ST STE 100, LEWISVILLE, TX 75057-3665
- **Practice address phone:** (972) 434-2005
- **Practice address fax:** (972) 221-8804
- **Mailing address:** 560 W MAIN ST STE 100, LEWISVILLE, TX 75057-3665
- **Mailing address phone:** (972) 434-2005
- **Mailing address fax:** (972) 221-8804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0070379 | TX | Yes |

## Other

- **Enumeration date:** 01/15/2009
- **Last updated:** 09/11/2020
