Organization
MYCROMED LLC
Active
Other names
MSquared
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA KINNISON (PRESIDENT)
(888) 540-7464
Entity
Organization
Contact information
Practice address
2364 HIGHWAY 287 N, STE 109, MANSFIELD, TX 76063-9208
(888) 540-7464
(844) 566-9276
Mailing address
2364 HIGHWAY 287 N, STE 109, MANSFIELD, TX 76063-9208
(888) 540-7464
(844) 566-9276
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/09/2015
Last updated
06/29/2015
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