Organization
BASKERVILLE ENTERPRISES, LLC
Active
Other names
B2 Durable Medical Equpiment
Organization subpart
No
Provider details
NPI number
Authorized official
MARKEE BASKERVILLE (DIRECTOR)
(817) 903-1904
Entity
Organization
Contact information
Practice address
11325 PEGASUS ST STE W210, DALLAS, TX 75238-5203
(817) 903-1904
Mailing address
11325 PEGASUS ST STE W210, DALLAS, TX 75238-5203
(817) 903-1904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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