Organization
MEDICARE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVYN TORRES-GONZALEZ (VICE PRESIDENT)
(817) 729-9752
Entity
Organization
Contact information
Practice address
413 FOUNTAINSIDE DR, EULESS, TX 76039-4329
(817) 729-9752
(972) 852-1690
Mailing address
413 FOUNTAINSIDE DR, EULESS, TX 76039-4329
(817) 729-9752
(972) 852-1690
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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