Organization
CRESCENT DURABLE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID MAHMOOD M.D. (OWNER)
(214) 375-0101
Entity
Organization
Contact information
Practice address
4085 OHIO DR, SUITE 500, FRISCO, TX 75035-6244
(214) 375-0101
(214) 375-0099
Mailing address
4085 OHIO DR, SUITE 500, FRISCO, TX 75035-6244
(214) 375-0101
(214) 375-0099
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000832
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000832
TEXAS STATE DME LICENCE
TX
Enumeration date
09/18/2012
Last updated
03/14/2013
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