Organization
AFAHA M. ASANGANSI ; ZARIA MEDICAL EQUIPMENT & SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AFAHA MATTHEW ASANGANSI (OWNER/OPERATOR)
(903) 509-3987
Entity
Organization
Contact information
Practice address
7524 S BROADWAY AVE, STE. 120, TYLER, TX 75703-5007
(903) 509-3987
(903) 509-9428
Mailing address
7524 S BROADWAY AVE, STE. 120, TYLER, TX 75703-5007
(903) 509-3987
(903) 509-9428
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161161802
—
TX
Enumeration date
05/29/2008
Last updated
08/13/2008
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