Organization
MONARCH MEDICAL & REHAB SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ABATE (OWNER)
(817) 753-6337
Entity
Organization
Contact information
Practice address
5650 KROGER DR, SUITE 100, FORT WORTH, TX 76244-5684
(817) 753-6337
(888) 303-4136
Mailing address
5650 KROGER DR, SUITE 100, FORT WORTH, TX 76244-5684
(817) 753-6337
(888) 303-4136
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000422
TX
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283219801
—
TX
05
—
283219802
—
TX
05
—
283219803
—
TX
Enumeration date
07/09/2010
Last updated
05/02/2017
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