Organization
PERFORMANCE DME AND MEDICAL SUPPLY, ALLIANCE DME AND MEDICAL
Active
Other names
Alliance DME and Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DALE BUCK (PRESIDENT,OWNER)
(214) 357-5913
Entity
Organization
Contact information
Practice address
2445 MIDWAY RD, SUITE # 103, CARROLLTON, TX 75006-2555
(214) 357-5913
(214) 357-8204
Mailing address
2445 MIDWAY RD, SUITE # 103, CARROLLTON, TX 75006-2555
(214) 357-5913
(214) 357-8204
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0088008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088008
STATE LICENSE
TX
Enumeration date
08/01/2006
Last updated
06/16/2009
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