# MILAN MEDICAL SUPPLIES, LLC

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

## Provider details

- **NPI number:** 1588856348
- **Authorized official:** MR. MACKEAVER MECHAEL RIVERS (OWNER)
- **Authorized official phone:** (972) 455-2871

## Contact information

- **Practice address:** 15305 DALLAS PKWY, SUITE 300, ADDISON, TX 75001-4637
- **Practice address phone:** (972) 455-2871
- **Practice address fax:** (469) 252-4581
- **Mailing address:** 15305 DALLAS PKWY, SUITE 300, ADDISON, TX 75001-4637
- **Mailing address phone:** (972) 455-2871
- **Mailing address fax:** (469) 252-4581

## Taxonomy

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

## Other

- **Enumeration date:** 08/15/2007
- **Last updated:** 10/01/2007