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Ah Lone Star Dme Supply LLC

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

NPI number1790408581
StatusActive
Last updated in NPPESDec 13, 2024

Details

NPI
1790408581
Entity type
Organization (NPI-2)
Legal business name
Ah Lone Star Dme Supply LLC
Organization subpart
No
Enumeration date
Sep 26, 2022
Certification date
Dec 13, 2024
Last updated
Dec 13, 2024

Taxonomy and licenses

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

Practice location

1903 Central Dr Ste 405
Bedford, TX 76021-5813

Phone 682-503-6480 · Fax 209-432-5587

Mailing address

1903 Central Dr Ste 405
Bedford, TX 76021-5813

Phone 281-818-7544

Authorized official

Siddartha Vandanapu
Owner
2818187544

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