Organization
MEDICAL SUPPLY DIRECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OGHENEOVIE UREVBU (OWNER)
(469) 268-7986
Entity
Organization
Contact information
Practice address
5080 SPECTRUM DR STE 1052, ADDISON, TX 75001-4648
(469) 478-1882
Mailing address
5080 SPECTRUM DR STE 1052, ADDISON, TX 75001-4648
(469) 268-7986
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
01/04/2023
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