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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
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