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Organization
DE DIVINE CONNECTION MEDICAL SUPPLY INC
Active
Organization
DE DIVINE CONNECTION MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ATUCHI (PRESIDENT)
(281) 933-9162
Entity
Organization
Contact information
Practice address
10200 W AIRPORT BLVD STE 110, STAFFORD, TX 77477-3333
(281) 933-9172
(281) 933-9172
Mailing address
10200 W AIRPORT BLVD STE 110, STAFFORD, TX 77477-3333
(281) 933-9162
(281) 933-9172
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
TX
Other
Enumeration date
10/19/2007
Last updated
02/08/2017
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