Organization
CREDENCE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHSAN HAQ (PRESIDENT/OWNER)
(989) 996-2017
Entity
Organization
Contact information
Practice address
11601 LAGO VIS W, 1151, FARMERS BRANCH, TX 75234-6806
(989) 996-2017
(972) 677-7309
Mailing address
11601 LAGO VIS W, 1151, FARMERS BRANCH, TX 75234-6806
(989) 996-2017
(972) 677-7309
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
TX
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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