Organization · NPI-2

Afaha M. Asangansi ; Zaria Medical Equipment & Supplies

Durable Medical Equipment & Medical Supplies · Tyler, TX

NPI number1427216258
StatusActive
Last updated in NPPESAug 13, 2008

Details

NPI
1427216258
Entity type
Organization (NPI-2)
Legal business name
Afaha M. Asangansi ; Zaria Medical Equipment & Supplies
Organization subpart
No
Enumeration date
May 29, 2008
Last updated
Aug 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

7524 S Broadway Ave
Ste. 120
Tyler, TX 75703-5007

Phone 903-509-3987 · Fax 903-509-9428

Mailing address

7524 S Broadway Ave
Ste. 120
Tyler, TX 75703-5007

Phone 903-509-3987 · Fax 903-509-9428

Authorized official

Afaha Matthew Asangansi
Owner/Operator
9035093987

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