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BETTER SOURCE DME & MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARMA GUILLORY (MEDICAL ACCOUNT MANAGER)
(817) 471-2468
Entity
Organization

Contact information

Practice address
2220 GLADSTONE DR, ARLINGTON, TX 76018-1931
(817) 471-2468
(817) 375-5115
Mailing address
PO BOX 543512, GRAND PRAIRIE, TX 75054-3512
(817) 471-2468
(817) 375-5115

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
152510041
TEXAS STATE LICENSE
TX
Enumeration date
09/29/2008
Last updated
06/18/2010
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