# MYCROMED LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MSquared
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851782155
- **Authorized official:** WANDA KINNISON (PRESIDENT)
- **Authorized official phone:** (888) 540-7464

## Contact information

- **Practice address:** 2364 HIGHWAY 287 N, STE 109, MANSFIELD, TX 76063-9208
- **Practice address phone:** (888) 540-7464
- **Practice address fax:** (844) 566-9276
- **Mailing address:** 2364 HIGHWAY 287 N, STE 109, MANSFIELD, TX 76063-9208
- **Mailing address phone:** (888) 540-7464
- **Mailing address fax:** (844) 566-9276

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2015
- **Last updated:** 06/29/2015