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
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