Mycromed LLC

NPI #1851782155 in Mansfield, Texas

Provider Information

NPI Number: 1851782155
Entity Type: Organization
Organization Name: Mycromed LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Feb 9, 2015
Last Updated: Jun 29, 2015

Practice Location

Address: 2364 HIGHWAY 287 N
Address 2: STE 109
City: Mansfield
State: Texas
ZIP Code: 76063-9208
Phone: (888) 540-7464

Authorized Official

Name: WANDA KINNISON
Title: PRESIDENT
Phone: (888) 540-7464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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