Organization
LIVEWELL MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATA LAKSHMI SIVA PRASAD EDUMUDI DIRECTOR (DIRECTOR)
(551) 302-0310
Entity
Organization
Contact information
Practice address
1735 KELLER SPRINGS RD STE 208, CARROLLTON, TX 75006-3015
(551) 302-0310
Mailing address
1735 KELLER SPRINGS RD STE 208, CARROLLTON, TX 75006-3015
(551) 302-0310
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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