# IT3 MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IT3 Medical LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821457946
- **Authorized official:** BELINDA ACOSTA (BILLING DIRECTOR)
- **Authorized official phone:** (469) 453-0300

## Contact information

- **Practice address:** 610 PRESIDENTIAL DRIVE, SUITE 110, RICHARDSON, TX 75081-2956
- **Practice address phone:** (469) 453-0300
- **Practice address fax:** (469) 814-8321
- **Mailing address:** 190 E STACY RD, SUITE 306-298, ALLEN, TX 75002-8734
- **Mailing address phone:** (469) 453-0300
- **Mailing address fax:** (469) 814-8321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1001684 | TX | Yes |

## Other

- **Enumeration date:** 02/17/2016
- **Last updated:** 03/22/2017