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Organization

CENTURY MEDICAL CONSULTING & SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. REINALDO ANTHONY GOMEZ (PRESIDENT)
(972) 446-2800
Entity
Organization

Contact information

Practice address
1411 LEMAY DR., STE.407, CARROLLTON, TX 75007
(972) 446-2800
(972) 446-2810
Mailing address
1411 LEMAY DR, STE. 407, CARROLLTON, TX 75007-4934
(972) 446-2800
(972) 446-2810

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106499
AL
05
165664716
AR
05
200122450A
OK
Enumeration date
05/15/2007
Last updated
01/13/2009
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