Provider Demographics
NPI:1356510663
Name:D&D MEDICAL SUPPLY
Entity Type:Organization
Organization Name:D&D MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:NGENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-891-9623
Mailing Address - Street 1:7129 W FUQUA DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-2451
Mailing Address - Country:US
Mailing Address - Phone:832-891-9623
Mailing Address - Fax:713-974-6101
Practice Address - Street 1:7129 W FUQUA DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2451
Practice Address - Country:US
Practice Address - Phone:832-891-9623
Practice Address - Fax:713-974-6101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies