Organization
DME SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANMOHAN S. SAGOO (OWNER)
(817) 731-3200
Entity
Organization
Contact information
Practice address
4255 BRYANT IRVIN RD STE 103, FT WORTH, TX 76109-4284
(817) 731-3200
(817) 318-1543
Mailing address
PO BOX 3213, FT WORTH, TX 76113-3213
(817) 731-3200
(817) 318-1543
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530068
BC-BS
TX
Enumeration date
02/07/2007
Last updated
08/21/2008
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