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Organization
MDS MEDICAL DIAGNOSTIC AND SUPPLIES LLC
Active
Organization
MDS MEDICAL DIAGNOSTIC AND SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY ADISA AYOOLA (PRESIDENT)
(281) 955-3377
Entity
Organization
Contact information
Practice address
11706 FALLBROOK DR, SUITE B, HOUSTON, TX 77065-3510
(281) 955-3377
(281) 955-3424
Mailing address
PO BOX 692312, HOUSTON, TX 77269-2312
(281) 955-3377
(281) 955-3424
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1000715
TX
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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