Organization
DME DIRECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDELL SCOTT FARLEY (PRESIDENT)
(210) 593-4000
Entity
Organization
Contact information
Practice address
4204 GARDENDALE ST STE 107, SAN ANTONIO, TX 78229-3138
(210) 593-4000
(210) 593-4003
Mailing address
4204 GARDENDALE ST STE 107, SAN ANTONIO, TX 78229-3138
(210) 593-4000
(210) 593-4003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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