Organization
CRYSTAL DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA LOCASCIO (OWNER)
(214) 943-7799
Entity
Organization
Contact information
Practice address
433 W 12TH ST, DALLAS, TX 75208-6507
(214) 206-6970
(214) 946-6923
Mailing address
433 W 12TH ST, DALLAS, TX 75208-6507
(214) 206-6970
(214) 946-6923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/18/2008
Last updated
03/23/2009
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