Organization · Type 2 NPI

Stracon

Durable Medical Equipment & Medical Supplies · Grand Prairie, TX

NPI number 1053497008 Active

Practice location

810 Dalworth St Ste B
Grand Prairie, TX 75050-5516

Call (972) 262-5053 Map

Fax (972) 262-7160

Other practice locations

812 Dalworth St, Grand Prairie, TX 75050-5545 · (972) 262-5053

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	0085290 (TX)
Durable Medical Equipment & Medical Supplies	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Other durable medical equipment & medical supplies providers in Grand Prairie

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NPI record

NPI: 1053497008
Entity type: Organization (Type 2)
Issued: Oct 31, 2006
Last updated: Oct 1, 2019
Status: Active

Other names

<unavail>
Stracon Medical Supply · doing business as
Stracon Medical Supply · doing business as

Authorized official

Mr. Philip A Adesulu
Managing Officer
(972) 262-5053

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053497008

Stracon's National Provider Identifier is 1053497008, issued on Oct 31, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Oct 1, 2019.