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

TaxonomyCodeLicense
Parenteral & Enteral Nutrition Supplies (DME) Primary 332BP3500X1635676 (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.