Organization
MOST VITAL PERSONAL MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMARCO FORTEZ ALLEN (OWNER)
(972) 329-1543
Entity
Organization
Contact information
Practice address
641 WINDSONG, MESQUITE, TX 75149-2661
(972) 329-1543
Mailing address
641 WINDSONG, MESQUITE, TX 75149-2661
(972) 329-1543
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
200900313211
TX
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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