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Organization
REVIVE HEALTH MEDICAL SUPPLIES
Active
Organization
REVIVE HEALTH MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN JONES DPT (OWNER/PT)
(972) 263-7042
Entity
Organization
Contact information
Practice address
504 N CARRIER PKWY, GRAND PRAIRIE, TX 75050-5428
(972) 263-7042
(972) 263-7046
Mailing address
PO BOX 92282, SOUTHLAKE, TX 76092-0103
(972) 263-7042
(972) 263-7046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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