# VITALBRIDGE MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1619895802
- **Authorized official:** ADNAN ALAM KHAN MOHAMMED (MANAGER)
- **Authorized official phone:** (872) 215-8665

## Contact information

- **Practice address:** 3401 CUSTER RD STE 162, PLANO, TX 75023-7586
- **Practice address phone:** (872) 215-8665
- **Mailing address:** 3401 CUSTER RD STE 162, PLANO, TX 75023-7586
- **Mailing address phone:** (872) 215-8665

## Taxonomy

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

## Other

- **Enumeration date:** 07/07/2026
- **Last updated:** 07/07/2026