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Organization
WEST MEDICAL SUPPLIES, LLC
Active
Organization
WEST MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE WILSON (OWNER)
(972) 996-4565
Entity
Organization
Contact information
Practice address
825 WATTERS CREEK BLVD STE 250, ALLEN, TX 75013-3770
(972) 996-4565
Mailing address
825 WATTERS CREEK BLVD STE 250, ALLEN, TX 75013-3770
(972) 996-4565
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1002193
TN
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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