Steve Sourasack

NPI #1952779092 in Irving, Texas

Provider Information

NPI Number
1952779092
Entity Type
Individual
Name
Steve Sourasack
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 6, 2015
Last Updated
Sep 6, 2015

Practice Location

Address
1100 SEA ISLE DR
City
Irving
State
Texas
ZIP Code
75060-7710
Phone
(817) 966-9968

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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