MEDICARE: TESSY MEDICAL SUPPLY & EQUIPMENTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1366623027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TESSY MEDICAL SUPPLY & EQUIPMENTS

Provider Business Mailing Address
First Line	:	9550 FOREST LN
Second Line	:	SUITE 107
City	:	DALLAS
State	:	TX
Zip	:	75243-5905
Country	:	US
Telephone Number	:	214-221-5191
Fax Number	:	214-221-5194

Provider Business Practice Location Address
First Line	:	9550 FOREST LN
Second Line	:	SUITE 107
City	:	DALLAS
State	:	TX
Zip	:	75243-5905
Country	:	US
Telephone Number	:	214-221-5191
Fax Number	:	214-221-5194

Authorized Official
Title or Position	:	PARTNER
Name	:	MRS. THERESA UNANMA OGBOLU
Credential	:
Telephone Number	:	214-221-5191

Provider Enumeration Date	:	11/21/2007
Last Update Date	:	08/14/2008

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