Organization
CRESCENT DME SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED I SHAIKH (PRESIDENT)
(817) 801-1212
Entity
Organization
Contact information
Practice address
2238 MICHIGAN AVE, G, ARLINGTON, TX 76013-5945
(807) 801-1212
(817) 801-0005
Mailing address
PO BOX 182411, ARLINGTON, TX 76096-2411
(817) 801-1212
(817) 801-0005
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0039845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149132601
—
TX
01
—
531546
BC/BS PROVIDER
TX
Enumeration date
07/10/2006
Last updated
03/11/2010
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