Organization
ASA MEDICAL EQUIPMENT & SUPPLIES
Active
Other names
Metro Medical Distributors
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ESSIEN COBY COBHAM (ADMINISTRATOR)
(972) 709-4433
Entity
Organization
Contact information
Practice address
700 S COCKRELL HILL RD, SUITE 184, DUNCANVILLE, TX 75137-2600
(972) 709-4433
(972) 709-4434
Mailing address
PO BOX 382637, DUNCANVILLE, TX 75138-2637
(972) 709-4433
(972) 709-4434
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0073631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171355401
—
TX
05
—
171355402
—
TX
Enumeration date
09/05/2006
Last updated
06/15/2009
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