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Organization

MED-DEPOT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES CLUTE (CEO)
(214) 572-0520
Entity
Organization

Contact information

Practice address
2478 FORT WORTH ST, GRAND PRAIRIE, TX 75050-4914
(972) 606-6336
Mailing address
2351 W NORTHWEST HWY, SUITE 2135, DALLAS, TX 75220-4433
(214) 572-0520
(214) 572-0511

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Enumeration date
07/18/2008
Last updated
07/18/2008
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