Organization
METROMED MEDICAL SUPPLY LLC
Active
Other names
Metroplex Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE M. BROWN (PRESIDENT)
(972) 434-2005
Entity
Organization
Contact information
Practice address
560 W MAIN ST STE 100, LEWISVILLE, TX 75057-3665
(972) 434-2005
(972) 221-8804
Mailing address
560 W MAIN ST STE 100, LEWISVILLE, TX 75057-3665
(972) 434-2005
(972) 221-8804
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0070379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169605601
—
TX
05
—
169605602
—
TX
Enumeration date
01/15/2009
Last updated
09/11/2020
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