Organization
DYNASTY GLOBAL FOOTWEAR LLC
Active
Other names
FOOT SOLUTIONS RICE VILLAGE
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL CLOUGH (GENERAL MANAGER)
(713) 521-3668
Entity
Organization
Contact information
Practice address
5318 KIRBY DR, HOUSTON, TX 77005-1349
(713) 521-3668
(713) 521-3668
Mailing address
1620 CENTRAL AVE, STE 202, CHEYENNE, WY 82001-4557
(713) 521-3668
(713) 521-3668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2483
TX
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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