Prudential Medical Network, LP
NPI #1003025784 in Midlothian, Texas
Provider Information
- NPI Number
- 1003025784
- Entity Type
- Organization
- Organization Name
- Prudential Medical Network, LP
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5455 HONEYSUCKLE RD
- City
- Midlothian
- State
- Texas
- ZIP Code
- 76065-7006
- Phone
- (972) 567-9571
Authorized Official
- Name
- MR. KELLY DEAN SANDERS, OPA-C
- Title
- CO PRESIDENT
- Phone
- (817) 714-9066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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