# DIABETIC FOOTWEAR & SUPPLIES INCORPORATED

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

## Provider details

- **NPI number:** 1659507325
- **Authorized official:** LONNETTE ALEXANDER (CEO)
- **Authorized official phone:** (817) 261-1177

## Contact information

- **Practice address:** 2912 KRAFT ST, SUITE \#10, ARLINGTON, TX 76010-5410
- **Practice address phone:** (817) 261-1177
- **Practice address fax:** (817) 984-3390
- **Mailing address:** 610 CROWNPOINT LN, ARLINGTON, TX 76002-4776
- **Mailing address phone:** (817) 261-1177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 1000138 | TX | Yes |

## Other

- **Enumeration date:** 06/08/2009
- **Last updated:** 02/10/2014