Organization
AETNA MEDICAL SUPPLIES USA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE NWAEFULU (OFFICER)
(817) 460-2311
Entity
Organization
Contact information
Practice address
401 W ABRAM ST STE B, ARLINGTON, TX 76010-1059
(817) 460-2311
(817) 460-2344
Mailing address
401 W ABRAM ST STE B, ARLINGTON, TX 76010-1059
(817) 460-2311
(817) 460-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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