# WRENN MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1740354703
- **Authorized official:** MR. DARRELL SHAW WRENN (OWNER)
- **Authorized official phone:** (817) 568-1112

## Contact information

- **Practice address:** 2834 SE LOOP 820, FORT WORTH, TX 76140-1018
- **Practice address phone:** (817) 568-1112
- **Practice address fax:** (817) 568-8306
- **Mailing address:** 2834 SE LOOP 820, FORT WORTH, TX 76140-1018
- **Mailing address phone:** (817) 568-1112
- **Mailing address fax:** (817) 568-8306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0057283 | TX | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 08/22/2020