Individual
TINA LANKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N HAMPTON RD STE C, DESOTO, TX 75115-4963
(469) 297-4256
Mailing address
613 SPICE ST, DESOTO, TX 75115-1482
(972) 880-6172
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
1635676
TX
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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