Organization
CROSSFIT 363 LLC
Active
Other names
American Medical DME
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DASILVA D.C. (DIRECTOR)
(214) 734-7623
Entity
Organization
Contact information
Practice address
363 W MAIN ST, LEWISVILLE, TX 75057-3867
(214) 734-7623
(972) 436-3182
Mailing address
363 W MAIN ST, LEWISVILLE, TX 75057-3867
(214) 734-7623
(972) 436-3182
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7121
TX
Other
Enumeration date
04/22/2016
Last updated
05/24/2016
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