Organization
KOALA LLC
Active
Other names
koala mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA J CLAGUE (OWNER)
(972) 262-0891
Entity
Organization
Contact information
Practice address
1901 W IRVING BLVD SUITE 750, IRVING, TX 75061-6871
(972) 821-0137
Mailing address
1901 W IRVING BLVD STE 750, IRVING, TX 75061-6823
(972) 821-0137
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332B00000X
TX
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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