# UDUAK EDWARDS FSH MEDICAL SUPPLIES

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

## Provider details

- **NPI number:** 1780866624
- **Authorized official:** UDUAK D EDWARDS (MANAGER)
- **Authorized official phone:** (972) 329-6593

## Contact information

- **Practice address:** 317 STONERIDGE DR, MESQUITE, TX 75149-3575
- **Practice address phone:** (972) 329-6593
- **Practice address fax:** (972) 285-9820
- **Mailing address:** 317 STONERIDGE DR, MESQUITE, TX 75149-3575
- **Mailing address phone:** (972) 329-6593
- **Mailing address fax:** (972) 285-9820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 4569730001 | TX | Yes |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 06/25/2008