Organization
MEDCO MEDICAL EQUIPMENT SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THAZHATHA CHACKO (OWNER)
(214) 682-7672
Entity
Organization
Contact information
Practice address
1208 W 6TH ST, IRVING, TX 75060-2628
(214) 682-7672
Mailing address
1208 W 6TH ST, IRVING, TX 75060-2628
(214) 682-7672
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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