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Organization
SOUTH MEDICAL SUPPLY
Active
Organization
SOUTH MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JEAN KELLY ORTHOTICS FITTER (OWNER)
(469) 667-7483
Entity
Organization
Contact information
Practice address
500 W UNIVERSITY DR, 109, MCKINNEY, TX 75069-4823
(469) 667-7483
(214) 377-9999
Mailing address
500 W UNIVERSITY DR, 109, MCKINNEY, TX 75069-4823
(469) 667-7483
(214) 377-9999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000339
TX
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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