Organization
MOON LIGHT MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIM ASLAM (PRESIDENT)
(424) 382-6041
Entity
Organization
Contact information
Practice address
21407 PEBBLE GROVE CT, RICHMOND, TX 77407-7146
(424) 382-6041
Mailing address
4445 DEGAULLE ST APT 14204, FORT WORTH, TX 76155-3054
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/01/2026
Last updated
08/15/2026
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