Organization
EMS MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA UJU ANDERSON (VICE-PRESIDENT)
(972) 641-9800
Entity
Organization
Contact information
Practice address
1106 N HWY 360, SUITE 202, GRAND PRAIRIE, TX 75050-2559
(972) 641-9800
(972) 641-9801
Mailing address
1106 N HWY 360, SUITE 202, GRAND PRAIRIE, TX 75050-2559
(972) 641-9800
(972) 641-9801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0099443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192796401
—
TX
05
—
192796402
—
TX
Enumeration date
11/30/2007
Last updated
07/25/2008
Update your record
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