Organization
DR EQUIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUGUSTINE GOMEZ (OWNER)
(214) 529-9450
Entity
Organization
Contact information
Practice address
5411 LIVE OAK ST, DALLAS, TX 75206-8115
(817) 889-6880
(888) 681-5827
Mailing address
5411 LIVE OAK ST, DALLAS, TX 75206-8115
(817) 889-6880
(888) 681-5827
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10872
TX
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
Update your record
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