Organization
MQ HEALTHCARE DISTRIBUTOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO LAPORTE (VP/CIO)
(817) 901-1770
Entity
Organization
Contact information
Practice address
3131 W BOLT ST STE D62, FORT WORTH, TX 76110-5813
(817) 901-1770
Mailing address
3131 W BOLT ST STE D62, FORT WORTH, TX 76110-5813
(817) 901-1770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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