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Organization

GOLDCREST MEDICAL EQUIPMENT SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BAYO OMOTARA (PRESIDENT)
(214) 442-3081
Entity
Organization

Contact information

Practice address
8035 E RL THRTN FWY STE 586, DALLAS, TX 75228-7064
(214) 442-3081
(972) 499-0018
Mailing address
8035 E RL THRTN FWY STE 586, DALLAS, TX 75228-7064
(214) 442-3081
(972) 499-0018

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BN1400X
Nursing Facility Supplies (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)

Other

Enumeration date
08/21/2019
Last updated
08/21/2019
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