Organization
PENGUIN MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALPESH PATEL RPH (PHARMACIST OWNER)
(817) 737-3637
Entity
Organization
Contact information
Practice address
6823 GREEN OAKS RD, SUITE D, FORT WORTH, TX 76116-1732
(817) 737-3637
(817) 737-3639
Mailing address
6823 GREEN OAKS RD, SUITE D, FORT WORTH, TX 76116-1732
(817) 737-3637
(817) 737-3639
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0088664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821056078
NPI
TX
Enumeration date
05/03/2006
Last updated
07/29/2009
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