Organization
IRONMAN MEDICAL SALES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH HEATH JOHNSON (PRINCIPAL)
(214) 734-2243
Entity
Organization
Contact information
Practice address
5509 GRENADA DR, FORT WORTH, TX 76119-8502
(214) 734-2243
(214) 276-1672
Mailing address
5509 GRENADA DR, FORT WORTH, TX 76119-8502
(214) 734-2243
(214) 276-1672
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/29/2008
Last updated
06/29/2008
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