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Organization
MEDICAL SUPPLIES RX
Active
Organization
MEDICAL SUPPLIES RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY SHARLENE BURKS (OWNER)
(214) 498-5720
Entity
Organization
Contact information
Practice address
2737 OAK HOLLOW DR, GRAND PRAIRIE, TX 75052-4438
(214) 498-5720
Mailing address
2737 OAK HOLLOW DR, GRAND PRAIRIE, TX 75052-4438
(214) 498-5720
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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