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Airway Support Solution LLC

Durable Medical Equipment & Medical Supplies in Fort Worth, TX. Organization (NPI-2).

NPI number1477589679
StatusActive
Last updated in NPPESJun 10, 2008

Details

NPI
1477589679
Entity type
Organization (NPI-2)
Legal business name
Airway Support Solution LLC
Organization subpart
No
Enumeration date
Jun 23, 2006
Last updated
Jun 10, 2008

Taxonomy and licenses

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

Practice location

5500 E Loop 820 S
Suite 109
Fort Worth, TX 76119-6569

Phone 817-563-2880 · Fax 817-345-3528

Mailing address

5500 E Loop 820 S
# 109
Fort Forth, TX 76119

Phone 817-563-2880 · Fax 817-345-3528

Authorized official

Jeyni Aguilar
Manager
8175632880

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