Organization
MOON MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL C OSADEBEY (ASST. PURCH. OFFICER)
(214) 905-9105
Entity
Organization
Contact information
Practice address
2730 N STEMMONS FWY BLDG, STE 215, DALLAS, TX 75207-2279
(214) 905-9105
(214) 634-3942
Mailing address
2730 N STEMMONS FWY BLDG STE215, DALLAS, TX 75207-2279
(214) 905-9105
(214) 634-3942
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0041165
TX
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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