Organization
IMMACULATE MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HILARY DAVID JR. (CEO)
(682) 551-9886
Entity
Organization
Contact information
Practice address
179 S WATSON RD, SUITE 418, ARLINGTON, TX 76010-5416
(682) 551-9886
(682) 551-9886
Mailing address
179 S WATSON RD, SUITE 418, ARLINGTON, TX 76010-5416
(682) 551-9886
(682) 551-9886
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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