Organization
DICKSON KUTEY
Active
Other names
MERITZ MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DICKSON KUTEY (OWNER)
(972) 641-1612
Entity
Organization
Contact information
Practice address
2100 N HIGHWAY 360, SUITE 301, GRAND PRAIRIE, TX 75050-1009
(972) 641-1612
(972) 641-1614
Mailing address
2100 N HIGHWAY 360, SUITE 301, GRAND PRAIRIE, TX 75050-1009
(972) 641-1612
(972) 641-1614
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0068612
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172908901
—
TX
05
—
172908902
—
TX
Enumeration date
01/20/2007
Last updated
09/24/2009
Update your record
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