Organization
FULLLIFE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE ADEUGA (DIRECTOR)
(469) 392-5433
Entity
Organization
Contact information
Practice address
9550 FOREST LN STE 464, DALLAS, TX 75243-5998
(469) 392-5433
Mailing address
9550 FOREST LN STE 464, DALLAS, TX 75243-5998
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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