Organization
EST MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ETZEL (OWNER)
(214) 697-4851
Entity
Organization
Contact information
Practice address
12222 COIT RD STE 200, DALLAS, TX 75251-2302
(214) 697-4851
Mailing address
12062 VIA BELLO CT, FRISCO, TX 75035-2297
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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