Organization
FW MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN BERNARD KUPER PHARM.D. (MANAGER)
(817) 456-4348
Entity
Organization
Contact information
Practice address
2 RAINTREE CT, MANSFIELD, TX 76063-4823
(817) 456-4348
Mailing address
2 RAINTREE CT, MANSFIELD, TX 76063-4823
(817) 456-4348
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/12/2010
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