Organization
PD MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP AIGBOGUN ERIMS (ADMINSTRATOR)
(469) 878-6315
Entity
Organization
Contact information
Practice address
9550 FOREST LN, SUITE 603, DALLAS, TX 75243
(469) 878-6315
Mailing address
9550 FOREST LN, SUITE 603, DALLAS, TX 75243-5905
(469) 878-6315
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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