# DME DIRECT LLC

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

## Provider details

- **NPI number:** 1740561638
- **Authorized official:** MR. RANDELL SCOTT FARLEY (PRESIDENT)
- **Authorized official phone:** (210) 593-4000

## Contact information

- **Practice address:** 4204 GARDENDALE ST STE 107, SAN ANTONIO, TX 78229-3138
- **Practice address phone:** (210) 593-4000
- **Practice address fax:** (210) 593-4003
- **Mailing address:** 4204 GARDENDALE ST STE 107, SAN ANTONIO, TX 78229-3138
- **Mailing address phone:** (210) 593-4000
- **Mailing address fax:** (210) 593-4003

## Taxonomy

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

## Other

- **Enumeration date:** 09/06/2011
- **Last updated:** 09/06/2011