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Organization
S.M.A. MEDICAL SUPPLY LLC
Active
Organization
S.M.A. MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA CRAVEN (OWNER)
(269) 274-1414
Entity
Organization
Contact information
Practice address
613 COIT RD, PLANO, TX 75075-5704
(269) 274-1414
(972) 407-9232
Mailing address
18012 CARROLLWOOD DR, DALLAS, TX 75252-6330
(269) 274-1414
(972) 407-9232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0099324
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0099324
TX
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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