Organization
OKEREKE MOSES MADUBUIKE
Active
Other names
Access Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OKEREKE MOSES MADUBUIKE (PRESIDENT)
(972) 237-9066
Entity
Organization
Contact information
Practice address
2307 OAK LANE #205, GRAND PRAIRIE, TX 75051
(972) 237-9066
(972) 237-9056
Mailing address
2307 OAK LANE, GRAND PRAIRIE, TX 75051
(972) 237-9066
(972) 237-9056
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0079619
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178550301
—
TX
05
—
178550302
—
TX
Enumeration date
09/15/2006
Last updated
06/13/2008
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