Pediatric Radioanesthesia Supply

NPI #1578798468 in Garland, Texas

Provider Information

NPI Number
1578798468
Entity Type
Organization
Organization Name
Pediatric Radioanesthesia Supply
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 20, 2009
Last Updated
May 20, 2009

Practice Location

Address
3200 BROADWAY BLVD
Address 2
SUITE 350
State
Texas
ZIP Code
75403
Phone
(972) 840-2804

Authorized Official

Name
DR. O R DAVIS, MD,PA
Title
ANESTHESIOLOGIST
Phone
(972) 840-2804

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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