Organization
KONANIAH MEDICAL EQUIPMENT & SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUWOLE O DAVIDS (OWNER)
(469) 610-5006
Entity
Organization
Contact information
Practice address
2304 OAK LANE, SUITE 207, GRAND PRAIRIE, TX 75051-8816
(469) 610-5006
(210) 941-0082
Mailing address
2304 OAK LANE, SUITE 207, GRAND PRAIRIE, TX 75051-8816
(469) 610-5006
(210) 941-0082
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
802292943
TX
Other
Enumeration date
09/22/2015
Last updated
04/26/2016
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