# MEDICAL SUPPLIES RX

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

## Provider details

- **NPI number:** 1689812828
- **Authorized official:** MRS. TIFFANY SHARLENE BURKS (OWNER)
- **Authorized official phone:** (214) 498-5720

## Contact information

- **Practice address:** 2737 OAK HOLLOW DR, GRAND PRAIRIE, TX 75052-4438
- **Practice address phone:** (214) 498-5720
- **Mailing address:** 2737 OAK HOLLOW DR, GRAND PRAIRIE, TX 75052-4438
- **Mailing address phone:** (214) 498-5720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2009
- **Last updated:** 01/26/2009