Organization
MEDISOURCE PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANNA VILLARREAL (BILLER)
(214) 295-6703
Entity
Organization
Contact information
Practice address
1505 FEDERAL ST, SUITE 300, DALLAS, TX 75201-3487
(214) 295-6703
Mailing address
1505 FEDERAL ST, SUITE 300, DALLAS, TX 75201-3487
(214) 295-6703
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
Update your record
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