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Organization
DURAMEDICAL
Active
Organization
DURAMEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MAYDEN (CFO)
(972) 745-7500
Entity
Organization
Contact information
Practice address
601 CANYON DR, SUITE 100, COPPELL, TX 75019-3859
(972) 745-7500
(972) 471-0700
Mailing address
PO BOX 126261, FORT WORTH, TX 76126-0261
(972) 745-7500
(972) 471-0700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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