Organization
KANDIE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA N NEWSOME (DIRECTOR)
(512) 740-7867
Entity
Organization
Contact information
Practice address
17300 DASHWOOD CREEK DR, PFLUGERVILLE, TX 78660-5712
(512) 740-7867
(512) 233-5957
Mailing address
17300 DASHWOOD CREEK DR, PFLUGERVILLE, TX 78660-5712
(512) 740-7867
(512) 233-5957
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190780001
—
TX
05
—
190780002
—
TX
Enumeration date
03/18/2007
Last updated
07/25/2012
Update your record
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