Individual provider · Type 1 NPI
Tina Lankford
Parenteral & Enteral Nutrition Supplies (DME) · Desoto, TX
NPI number
1962090928
Active
Practice location
502 N Hampton Rd Ste C
Desoto, TX 75115-4963
Mailing address
613 Spice St
Desoto, TX 75115-1482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) Primary | 332BP3500X | 1635676 (TX) |
Parenteral & Enteral Nutrition Supplies (DME): Definition to come...
About NPI 1962090928
Tina Lankford's National Provider Identifier is 1962090928, issued on Jan 5, 2021. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Desoto, TX. The record was last updated on Jan 5, 2021.