Organization
ONE SOURCE MEDICAL SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER WILSON (GENERAL MANAGER)
(214) 421-7000
Entity
Organization
Contact information
Practice address
1523 PRUDENTIAL DR, DALLAS, TX 75235-4111
(214) 421-7000
(214) 421-7001
Mailing address
1523 PRUDENTIAL DR, DALLAS, TX 75235-4111
(214) 421-7000
(214) 421-7001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0073041
TX
332BC3200X
Customized Equipment (DME)
Primary
0073041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173266101
—
TX
05
—
173266102
—
TX
Enumeration date
09/28/2006
Last updated
05/02/2024
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