Organization
LIFE SUPPORT DME AND MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKPANGI L ATLEY (OWNER)
(469) 766-9509
Entity
Organization
Contact information
Practice address
434 W KIEST BLVD, SUITE# 235, DALLAS, TX 75224-3400
(214) 208-8121
Mailing address
434 W KIEST BLVD, SUITE# 235, DALLAS, TX 75224-3400
(214) 208-8121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
08/13/2008
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