# WEST MEDICAL SUPPLIES, LLC

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

## Provider details

- **NPI number:** 1659857019
- **Authorized official:** DWAYNE WILSON (OWNER)
- **Authorized official phone:** (972) 996-4565

## Contact information

- **Practice address:** 825 WATTERS CREEK BLVD STE 250, ALLEN, TX 75013-3770
- **Practice address phone:** (972) 996-4565
- **Mailing address:** 825 WATTERS CREEK BLVD STE 250, ALLEN, TX 75013-3770
- **Mailing address phone:** (972) 996-4565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1002193 | TN | Yes |

## Other

- **Enumeration date:** 07/18/2018
- **Last updated:** 07/18/2018
