Organization
MILAN MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MACKEAVER MECHAEL RIVERS (OWNER)
(972) 455-2871
Entity
Organization
Contact information
Practice address
15305 DALLAS PKWY, SUITE 300, ADDISON, TX 75001-4637
(972) 455-2871
(469) 252-4581
Mailing address
15305 DALLAS PKWY, SUITE 300, ADDISON, TX 75001-4637
(972) 455-2871
(469) 252-4581
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Enumeration date
08/15/2007
Last updated
10/01/2007
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