Organization
AMAZING GRACE MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN A NGAM AGBOR (ADMINISTRATOR)
(469) 340-5313
Entity
Organization
Contact information
Practice address
1472 N HAMPTON RD STE 100D, DESOTO, TX 75115-3001
(469) 340-5313
Mailing address
1472 N HAMPTON RD STE 100D, DESOTO, TX 75115-3001
(469) 340-5313
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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