# TENDERCARE PEDI SUPPLY

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

## Provider details

- **NPI number:** 1740518620
- **Authorized official:** AMIE BURGER (PRESIDENT)
- **Authorized official phone:** (903) 669-9632

## Contact information

- **Practice address:** 610 GREENHILL DR, \#11203, ROUND ROCK, TX 78665-2200
- **Practice address phone:** (903) 669-9632
- **Mailing address:** 610 GREENHILL DR, \#11203, ROUND ROCK, TX 78665-2200

## Taxonomy

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

## Other

- **Enumeration date:** 12/03/2009
- **Last updated:** 12/03/2009
