Organization
MDG MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SESSILY MINTON (PARTNER)
(817) 456-0240
Entity
Organization
Contact information
Practice address
158 W MAGNOLIA AVE, FORT WORTH, TX 76104-7609
(817) 456-0240
Mailing address
158 W MAGNOLIA AVE, FORT WORTH, TX 76104-7609
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001768
TX
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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