Organization · NPI-2
Dmedicus LLC
Durable Medical Equipment & Medical Supplies · Rockwall, TX
NPI number1174636559
StatusActive
Last updated in NPPESSep 24, 2007
Details
- NPI
- 1174636559
- Entity type
- Organization (NPI-2)
- Legal business name
- Dmedicus LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Sep 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0071495 | TX | Yes |
Other names
- Dmedicus (Doing Business As)
Practice location
108 E Rusk St # 103Rockwall, TX 75087-3725
Phone 469-698-0250
Mailing address
1200 Lake Glen CirRockwall, TX 75087-6009
Phone 469-698-8806 · Fax 469-698-8816
Authorized official
Byrle William Darland
President
4696989939
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