Organization
PI DME OF TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ERIC BANDA (OWNER)
(915) 588-0412
Entity
Organization
Contact information
Practice address
3100 CARLISLE ST APT 15120, DALLAS, TX 75204-1497
(915) 588-0412
Mailing address
3100 CARLISLE ST APT 15120, DALLAS, TX 75204-1497
(915) 588-0412
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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