Elizabeth D.ebolum

NPI #1790860344 in Desoto, Texas

Provider Information

NPI Number
1790860344
Entity Type
Organization
Organization Name
Elizabeth D.ebolum
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 25, 2006
Last Updated
Nov 14, 2008

Practice Location

Address
1704 N HAMPTON RD
Address 2
STE 207
City
Desoto
State
Texas
ZIP Code
75115-8623
Phone
(972) 224-4500

Authorized Official

Name
MRS. ELIZABETH D OPALEYE, RN
Title
DIR OF OPERATIONS
Phone
(972) 224-4500

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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