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Organization

DIABETES SERVICE AND SUPPLY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CORY MARK BAILEY (CEO)
(480) 734-5845
Entity
Organization

Contact information

Practice address
5510 AUTUMN BREEZE CT, SPRING, TX 77379-8868
(480) 734-5845
Mailing address
5510 AUTUMN BREEZE CT, SPRING, TX 77379-8868
(480) 734-5845

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/25/2023
Last updated
09/25/2023
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