# S.M.A. MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1841487774
- **Authorized official:** DANA CRAVEN (OWNER)
- **Authorized official phone:** (269) 274-1414

## Contact information

- **Practice address:** 613 COIT RD, PLANO, TX 75075-5704
- **Practice address phone:** (269) 274-1414
- **Practice address fax:** (972) 407-9232
- **Mailing address:** 18012 CARROLLWOOD DR, DALLAS, TX 75252-6330
- **Mailing address phone:** (269) 274-1414
- **Mailing address fax:** (972) 407-9232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0099324 | TX | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 0099324 | TX | — |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 09/25/2007