MEDICARE: STENO MEDICAL SUPPLIES LLC

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	:	1487751392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STENO MEDICAL SUPPLIES LLC

Provider Business Mailing Address
First Line	:	10802 STEPPINGTON DR APT 2338
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-4569
Country	:	US
Telephone Number	:	469-826-9257
Fax Number	:	214-660-1411

Provider Business Practice Location Address
First Line	:	10802 STEPPINGTON DR APT 2338
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-4569
Country	:	US
Telephone Number	:	469-826-9257
Fax Number	:	214-660-1411

Authorized Official
Title or Position	:	OWNER
Name	:	MR. IFEANYICHUKWU OJOBOR
Credential	:
Telephone Number	:	469-826-9257

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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