Organization
DAVENPORT DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SUE DAVENPORT (OWNER/ FITTER)
(214) 914-4135
Entity
Organization
Contact information
Practice address
5750 BUSINESS 78, NEVADA, TX 75173-8026
(214) 914-4135
Mailing address
5750 BUSINESS 78, NEVADA, TX 75173-8026
(214) 914-4135
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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