Organization
HIS GRACE MEDICAL SUPPLY AND MORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA O. ADENUGA (MANAGING EMPLOYEE)
(817) 557-1668
Entity
Organization
Contact information
Practice address
1901 SOUTHEAST PKWY, SUITE 106, ARLINGTON, TX 76018-3605
(817) 557-1668
Mailing address
PO BOX 153202, ARLINGTON, TX 76015-9202
(817) 557-1668
(888) 441-6930
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0100320
TX
Other
Enumeration date
03/04/2008
Last updated
07/16/2009
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