Organization
MSB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY GODFREY R.N. (GENERAL MANAGER)
(817) 335-5810
Entity
Organization
Contact information
Practice address
707 NORTH FWY, SUITE 114, FT WORTH, TX 76102-1702
(817) 335-5810
(817) 335-5920
Mailing address
707 NORTH FWY, SUITE 114, FT WORTH, TX 76102-1702
(817) 335-5810
(817) 335-5920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011539601
—
TX
Enumeration date
07/06/2006
Last updated
11/23/2010
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