Organization
AERIE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN ASKINS (PRESIDENT)
(972) 216-7700
Entity
Organization
Contact information
Practice address
1800 N GALLOWAY AVE, STE. 300, MESQUITE, TX 75149-2299
(972) 216-7700
Mailing address
1800 N GALLOWAY AVE, STE. 300, MESQUITE, TX 75149-2299
(972) 216-7700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0076573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140620901
—
TX
05
—
140620902
—
TX
Enumeration date
09/20/2006
Last updated
06/11/2008
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