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Organization

STAFFORD MEDICAL SUPPLY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALBERT IWOBI (PRESIDENT)
(281) 277-0452
Entity
Organization

Contact information

Practice address
4645 HIGHWAY 90A, STAFFORD, TX 77477-4726
(281) 277-0452
(281) 277-0453
Mailing address
4645 HIGHWAY 90A, STAFFORD, TX 77477-4726
(281) 277-0452
(281) 277-0453

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BN1400X
Nursing Facility Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Other

Enumeration date
04/19/2007
Last updated
05/20/2008
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