Organization
DIABETIC FOOTWEAR & SUPPLIES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNETTE ALEXANDER (CEO)
(817) 261-1177
Entity
Organization
Contact information
Practice address
2912 KRAFT ST, SUITE #10, ARLINGTON, TX 76010-5410
(817) 261-1177
(817) 984-3390
Mailing address
610 CROWNPOINT LN, ARLINGTON, TX 76002-4776
(817) 261-1177
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1000138
TX
Other
Enumeration date
06/08/2009
Last updated
02/10/2014
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