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IN MOTION MEDICAL EQUIPMENT AND SUPPIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KORY DEMETRUS LEVINGSTON (OWNER)
(214) 497-5302
Entity
Organization

Contact information

Practice address
2407 S 2ND AVE, DALLAS, TX 75210-1951
(214) 497-5302
Mailing address
2407 S 2ND AVE, DALLAS, TX 75210-1951

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000164
TX

Other

Enumeration date
12/02/2009
Last updated
06/27/2010
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