Organization
ADVANCEMEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMIKA MORSHETTE WELLS (OWNER)
(214) 703-9451
Entity
Organization
Contact information
Practice address
1303 W BUCKINGHAM RD STE 115, GARLAND, TX 75040-4574
(214) 703-9451
(214) 703-9452
Mailing address
1303 W BUCKINGHAM RD STE#115, GARLAND, TX 75044
(214) 703-9451
(214) 703-9452
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0086322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180037701
—
TX
05
—
180037702
—
TX
Enumeration date
11/09/2006
Last updated
06/16/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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