Organization
DME SUPPLY COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANDERSON DC (PRESIDENT)
(214) 460-0644
Entity
Organization
Contact information
Practice address
517 N CARRIER PKWY, GRAND PRAIRIE, TX 75050-5484
(214) 460-0644
(972) 642-5183
Mailing address
4401 SAINT ANDREWS BLVD, IRVING, TX 75038-6443
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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