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Organization

KORT MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA JOHN KORT CPHT-R (OWNER/OPERATOR)
(214) 714-3042
Entity
Organization

Contact information

Practice address
6101 SAINTSBURY DR APT 632, THE COLONY, TX 75056
(214) 714-3042
Mailing address
6101 SAINTSBURY DR APT 632, THE COLONY, TX 75056-5217
(214) 714-3042

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
211042
TX
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
07/21/2014
Last updated
01/30/2019
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