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Okereke Moses Madubuike
Durable Medical Equipment & Medical Supplies in Grand Prairie, Texas
NPI 1073619342

Okereke Moses Madubuike is a Durable Medical Equipment & Medical Supplies based in Grand Prairie, TX. Okereke Moses Madubuike practices in Grand Prairie, TX. The NPI Number for Okereke Moses Madubuike is 1073619342 and holds a License No. 0079619 (Texas).

The current practice location address for Okereke Moses Madubuike is 2307 Oak Lane #205, Grand Prairie, TX and can be reached out via phone at 972-237-9066 and via fax at 972-237-9056.

Location: 2307 Oak Lane #205, Grand Prairie, TX, 75051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073619342
Provider Name
Okereke Moses Madubuike
Credential
Provider Entity Type
Organization
Address
2307 Oak Lane #205, Grand Prairie, TX, 75051
Phone Number
972-237-9066
Fax Number
972-237-9056
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
178550301 05 TX
178550302 05 TX
institution
Provider Business Practice Location Address Details
Address
2307 Oak Lane #205
City
Grand Prairie
State
Texas
Zip
75051
Phone Number
972-237-9066
Fax Number
972-237-9056
person
Provider Business Mailing Address Details
Address
2307 Oak Lane #205
City
Grand Prairie
State
Texas
Zip
75051
Phone Number
972-237-9066
Fax Number
972-237-9056
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
0079619 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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