# TEXAN ROOTS LLC

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

## Provider details

- **NPI number:** 1871313163
- **Authorized official:** MR. ZAIN ALI (MANAGER)
- **Authorized official phone:** (972) 493-0643

## Contact information

- **Practice address:** 3513 LILAC DRIVE, AUBREY, TX 76227
- **Practice address phone:** (972) 493-0643
- **Mailing address:** 6010 W SPRING CREEK PKWY \# 1011, PLANO, TX 75024-3569
- **Mailing address phone:** (972) 493-0643

## Taxonomy

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

## Other

- **Enumeration date:** 10/12/2024
- **Last updated:** 10/22/2024