# MAXIM MEDICAL SUPPLIES LLC

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

## Provider details

- **NPI number:** 1750095162
- **Authorized official:** AMMAR ALFARAWATI (MANAGER)
- **Authorized official phone:** (469) 766-4948

## Contact information

- **Practice address:** 18800 PRESTON RD STE 306, DALLAS, TX 75252-8573
- **Practice address phone:** (214) 299-9599
- **Mailing address:** 18800 PRESTON RD STE 306, DALLAS, TX 75252-8573
- **Mailing address phone:** (214) 299-9599

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2023
- **Last updated:** 02/21/2024