Organization
SHALEM MEDICAL SUPPLIES
Active
Parent organization
SHALEM MEDICAL SUPPLIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHALEM MEDICAL SUPPLIES
Authorized official
MR. JOHNSON GEORGE (DIRECTOR-1)
(972) 222-9263
Entity
Organization
Contact information
Practice address
707 NORTH FWY, SUITE 120, FORT WORTH, TX 76102-1702
(817) 698-9797
(817) 887-2305
Mailing address
PO BOX 850436, MESQUITE, TX 75185-0436
(817) 698-9797
(817) 887-2305
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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