# HANNAH AMAEFULA

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

## Provider details

- **NPI number:** 1629379227
- **Authorized official:** HANNAH AMAEFULA (OWNER)
- **Authorized official phone:** (972) 602-1641

## Contact information

- **Practice address:** 2306 OAK LN STE 4, GRAND PRAIRIE, TX 75051-8819
- **Practice address phone:** (972) 602-1641
- **Practice address fax:** (972) 325-2238
- **Mailing address:** 2306 OAK LN STE 4, GRAND PRAIRIE, TX 75051-8819
- **Mailing address phone:** (972) 602-1641
- **Mailing address fax:** (972) 325-2238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0068058 | TX | Yes |

## Other

- **Enumeration date:** 11/12/2010
- **Last updated:** 11/19/2010